Organization
QUALITY SUPPORT COORDINATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET T CONNELL (EXECUTIVE DIRECTOR)
(504) 858-9370
Entity
Organization
Contact information
Practice address
509 SAINT CHARLES ST, THIBODAUX, LA 70301-3419
(985) 447-7979
(985) 447-7911
Mailing address
509 SAINT CHARLES ST, THIBODAUX, LA 70301-3419
(985) 447-7979
(985) 447-7911
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
7291
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1115746
—
LA
Enumeration date
03/14/2007
Last updated
08/22/2020
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