Provider Demographics
NPI:1407537624
Name:QUANS ADULT DAY PROGRAM LLC
Entity Type:Organization
Organization Name:QUANS ADULT DAY PROGRAM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAQUANA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-402-7122
Mailing Address - Street 1:PO BOX 2708
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70069-2708
Mailing Address - Country:US
Mailing Address - Phone:504-402-7122
Mailing Address - Fax:
Practice Address - Street 1:4266 W MAIN ST STE 400B
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:LA
Practice Address - Zip Code:70359-6421
Practice Address - Country:US
Practice Address - Phone:504-402-7122
Practice Address - Fax:985-651-4613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care