Healthcare Provider Details

I. General information

NPI: 1629131552
Provider Name (Legal Business Name): QUALITY LIVING AIDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 04/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

916 LAFAYETTE RD SUITE C
ROSSVILLE GA
30741-2071
US

IV. Provider business mailing address

916 LAFAYETTE RD SUITE C
ROSSVILLE GA
30741-2071
US

V. Phone/Fax

Practice location:
  • Phone: 706-866-6600
  • Fax: 706-866-6665
Mailing address:
  • Phone: 706-866-6600
  • Fax: 706-866-6665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. ELMER REID SUMMITT
Title or Position: PRESIDENT
Credential:
Phone: 706-866-6600