Organization
QUALITY PERSONAL CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONETTE CARGO (MEMBER)
(225) 926-3337
Entity
Organization
Contact information
Practice address
5700 FLORIDA BLVD STE 320, BATON ROUGE, LA 70806-4243
(225) 926-3337
Mailing address
5700 FLORIDA BLVD STE 320, BATON ROUGE, LA 70806-4243
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1466506
—
LA
05
—
1476544
—
LA
05
—
1476609
—
LA
Enumeration date
03/11/2011
Last updated
03/11/2011
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