Organization
STAR QUALITY OUTCOMES CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME GRANT JR. (FOUNDER)
(225) 828-7070
Entity
Organization
Contact information
Practice address
7632 TRAILVIEW DR, GONZALES, LA 70737-8274
(225) 445-9049
Mailing address
7632 TRAILVIEW DR, GONZALES, LA 70737-8274
(225) 445-9049
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/20/2023
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