Provider Demographics
NPI:1184263964
Name:PERSONAL QUALITY CARE, LLC
Entity type:Organization
Organization Name:PERSONAL QUALITY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERNELL-HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:248-217-0367
Mailing Address - Street 1:21166 MAHON DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-7521
Mailing Address - Country:US
Mailing Address - Phone:248-352-6946
Mailing Address - Fax:248-352-6946
Practice Address - Street 1:21166 MAHON DR
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-7521
Practice Address - Country:US
Practice Address - Phone:248-352-6946
Practice Address - Fax:248-352-6946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-27
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty