Provider Demographics
NPI:1578854006
Name:QUALITY CARE NURSING
Entity Type:Organization
Organization Name:QUALITY CARE NURSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERAUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-290-0129
Mailing Address - Street 1:740 FRED LOOP
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71302-5739
Mailing Address - Country:US
Mailing Address - Phone:318-290-0129
Mailing Address - Fax:318-449-9906
Practice Address - Street 1:740 FRED LOOP
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71302-5739
Practice Address - Country:US
Practice Address - Phone:318-290-0129
Practice Address - Fax:318-449-9906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA969901002009310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility