Provider Demographics
NPI:1104182914
Name:QUALITY PATIENT CARE SERVICES CORP.
Entity Type:Organization
Organization Name:QUALITY PATIENT CARE SERVICES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMDINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-927-5925
Mailing Address - Street 1:5700 FLORIDA BLVD STE 707
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-4280
Mailing Address - Country:US
Mailing Address - Phone:225-927-5925
Mailing Address - Fax:225-927-5927
Practice Address - Street 1:5700 FLORIDA BLVD STE 707
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4280
Practice Address - Country:US
Practice Address - Phone:225-927-5925
Practice Address - Fax:225-927-5927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-05
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15369251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based