Provider Demographics
NPI:1629586540
Name:MAJOR QUALITY CARE, LLC
Entity Type:Organization
Organization Name:MAJOR QUALITY CARE, LLC
Other - Org Name:MQC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FACILITY ADMINISTRATOR/ COO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHENICQUA
Authorized Official - Middle Name:
Authorized Official - Last Name:BILLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-336-1740
Mailing Address - Street 1:3431 N 13TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53206-2851
Mailing Address - Country:US
Mailing Address - Phone:414-336-1740
Mailing Address - Fax:
Practice Address - Street 1:3431 N 13TH STREET
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53206
Practice Address - Country:US
Practice Address - Phone:414-336-1740
Practice Address - Fax:414-336-1740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI0016722310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility