Organization
QUALITY PERSONAL CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONETTE M CARGO (OWNER)
(225) 926-3337
Entity
Organization
Contact information
Practice address
7395 EXCHANGE PLACE, BATON ROUGE, LA 70806
(225) 926-3337
(225) 926-3338
Mailing address
7395 EXCHANGE PLACE, BATON ROUGE, LA 70806
(225) 926-3337
(225) 926-3338
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1479136
LA
3747P1801X
Personal Care Attendant
1476609
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1479136
—
LA
Enumeration date
01/23/2008
Last updated
01/23/2008
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