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Organization

QUALITY LONG TERM CARE LLC

Active
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Organization

QUALITY LONG TERM CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRESTON THOMAS GOODSON (ASSISTANT ADMINISTRATOR)
(318) 281-4925
Entity
Organization

Contact information

Practice address
300 W WALNUT AVE, BASTROP, LA 71220
(318) 281-4925
(318) 281-4927
Mailing address
300 W WALNUT AVE, BASTROP, LA 71220
(318) 281-4925
(318) 281-4927

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
PCA15231
LA
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1462632
LA
05
HC0008121
LA
Enumeration date
12/27/2007
Last updated
04/01/2022
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