Organization
LIFEQUEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAEED ROHANI (OWNER)
(318) 798-6540
Entity
Organization
Contact information
Practice address
4719 PALMETTO RD, BENTON, LA 71006-9712
(318) 965-2740
(318) 965-0769
Mailing address
4719 PALMETTO RD, BENTON, LA 71006-9712
(318) 965-2740
(318) 965-0769
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1628905
—
LA
Enumeration date
10/27/2006
Last updated
06/24/2008
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