Provider Demographics
NPI:1083805014
Name:PARA/QUAD SERVICES, INC.
Entity Type:Organization
Organization Name:PARA/QUAD SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-419-9191
Mailing Address - Street 1:1220 KENNESTONE CIR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-6045
Mailing Address - Country:US
Mailing Address - Phone:770-419-9151
Mailing Address - Fax:770-419-9053
Practice Address - Street 1:1220 KENNESTONE CIR
Practice Address - Street 2:SUITE 100
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-6045
Practice Address - Country:US
Practice Address - Phone:770-419-9151
Practice Address - Fax:770-419-9053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033-R-0015251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1083805014OtherNATIONAL PROVIDER INDEX