Organization
QUALITY COMMUNITY HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDY TILLERY (CEO)
(504) 812-5902
Entity
Organization
Contact information
Practice address
200 JOE JOHNSON RD, HOLDEN, LA 70744-8006
(225) 777-4204
Mailing address
200 JOE JOHNSON RD, HOLDEN, LA 70744-8006
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2321307
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2321307
—
LA
Enumeration date
02/27/2013
Last updated
02/27/2013
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