Healthcare Provider Details

I. General information

NPI: 1932011632
Provider Name (Legal Business Name): QUINTIN WILLIAMS SR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6050 CLAYTON DR
BATON ROUGE LA
70805-4626
US

IV. Provider business mailing address

6050 CLAYTON DR
BATON ROUGE LA
70805-4626
US

V. Phone/Fax

Practice location:
  • Phone: 225-921-1526
  • Fax:
Mailing address:
  • Phone: 225-921-1526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: