Healthcare Provider Details

I. General information

NPI: 1164426003
Provider Name (Legal Business Name): QUALITY MEDICAL CARE AND SERVICES, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 01/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 TATE COVE RD
VILLE PLATTE LA
70586-3600
US

IV. Provider business mailing address

903 TATE COVE RD
VILLE PLATTE LA
70586-3600
US

V. Phone/Fax

Practice location:
  • Phone: 337-363-8101
  • Fax: 337-363-8656
Mailing address:
  • Phone: 337-363-8101
  • Fax: 337-363-8656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CHARLES J. ASWELL III
Title or Position: OWNER/AUTHORIZED OFFICIAL
Credential: M.D.
Phone: 337-363-7474