Provider Demographics
NPI:1699363390
Name:JOSEPH-PARAISON, MAGGY J
Entity Type:Individual
Prefix:
First Name:MAGGY
Middle Name:J
Last Name:JOSEPH-PARAISON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 E MAIN ST STE 202
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-2712
Mailing Address - Country:US
Mailing Address - Phone:167-875-3911
Mailing Address - Fax:
Practice Address - Street 1:341 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-2712
Practice Address - Country:US
Practice Address - Phone:973-342-1687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-07
Last Update Date:2023-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
385H00000X
GAPHCP011112253Z00000X
GARN264466163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No385H00000XRespite Care FacilityRespite Care
Yes253Z00000XAgenciesIn Home Supportive Care