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NPI Code Detail

MEDICARE: QUALIS CARE OF LOUISIANA LLC

MEDICARE: QUALIS CARE OF LOUISIANA 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
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1659893253
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALIS CARE OF LOUISIANA LLC
Provider Business Mailing Address
First Line : 4201 WOODLAND DR FL 3
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70131-7339
Country : US
Telephone Number : 702-673-7116
Fax Number :
Provider Business Practice Location Address
First Line : 4201 WOODLAND DR FL 3
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70131-7339
Country : US
Telephone Number : 702-673-7116
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : MRS. PADMINI NAGARAJ
Credential : MD
Telephone Number : 504-378-5140
Provider Enumeration Date : 07/14/2017
Last Update Date : 07/21/2022

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Directions to “QUALIS CARE OF LOUISIANA LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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