Organization
QBC HOME MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. QUINTON DOMONICK OLIPHANT (EXECUTIVE DIRECTOR)
(337) 896-2314
Entity
Organization
Contact information
Practice address
3551 NORTHWEST EVANGELINE THRWY, CARENCRO, LA 70520
(337) 896-2314
(337) 896-2319
Mailing address
PO BOX 190, CARENCRO, LA 70520-0190
(337) 896-2314
(337) 896-2319
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1622508
—
LA
Enumeration date
05/30/2007
Last updated
06/20/2008
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