Provider Demographics
NPI:1184854002
Name:QUALITY SOUTH, INC.
Entity Type:Organization
Organization Name:QUALITY SOUTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.O.O.
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-641-7200
Mailing Address - Street 1:6001 N ADAMS RD STE 165
Mailing Address - Street 2:SUITE 209
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-1547
Mailing Address - Country:US
Mailing Address - Phone:248-641-7200
Mailing Address - Fax:
Practice Address - Street 1:7000 BROCKPORT CT
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-8019
Practice Address - Country:US
Practice Address - Phone:334-322-8897
Practice Address - Fax:334-224-1166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-27
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL012465320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities