Provider Demographics
NPI:1629131552
Name:QUALITY LIVING AIDS
Entity Type:Organization
Organization Name:QUALITY LIVING AIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ELMER
Authorized Official - Middle Name:REID
Authorized Official - Last Name:SUMMITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-866-6600
Mailing Address - Street 1:916 LAFAYETTE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ROSSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30741-2071
Mailing Address - Country:US
Mailing Address - Phone:706-866-6600
Mailing Address - Fax:706-866-6665
Practice Address - Street 1:916 LAFAYETTE RD
Practice Address - Street 2:SUITE C
Practice Address - City:ROSSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30741-2071
Practice Address - Country:US
Practice Address - Phone:706-866-6600
Practice Address - Fax:706-866-6665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA897806AMedicaid
GA1321090001Medicare ID - Type Unspecified