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NPI Code Detail

MEDICARE: PROFESSIONAL QUALITY CARE SERVICES LLC

MEDICARE: PROFESSIONAL QUALITY CARE SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care AttendantLA

General Provider Information

NPI Number : 1316113020
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROFESSIONAL QUALITY CARE SERVICES LLC
Provider Business Mailing Address
First Line : 2900 WESTFORK DR
Second Line : SUITE 200
City : BATON ROUGE
State : LA
Zip : 70827-0010
Country : US
Telephone Number : 225-298-1282
Fax Number : 225-354-7216
Provider Business Practice Location Address
First Line : 2900 WESTFORK DR
Second Line : SUITE 200
City : BATON ROUGE
State : LA
Zip : 70827-0010
Country : US
Telephone Number : 225-298-1282
Fax Number : 225-354-7216
Authorized Official
Title or Position : OWNER
Name : ANITA M LEMON
Credential :
Telephone Number : 225-298-1282
Provider Enumeration Date : 05/02/2008
Last Update Date : 05/02/2008

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Directions to “PROFESSIONAL QUALITY CARE SERVICES LLC ” Practice Location

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