Provider Demographics
NPI:1205059938
Name:PERSONAL QUALITY CARE, INC.
Entity type:Organization
Organization Name:PERSONAL QUALITY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERDIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-583-2823
Mailing Address - Street 1:211 CANDLELIGHT LN
Mailing Address - Street 2:
Mailing Address - City:OOLITIC
Mailing Address - State:IN
Mailing Address - Zip Code:47451-9714
Mailing Address - Country:US
Mailing Address - Phone:812-583-2823
Mailing Address - Fax:812-278-3140
Practice Address - Street 1:211 CANDLELIGHT LN
Practice Address - Street 2:
Practice Address - City:OOLITIC
Practice Address - State:IN
Practice Address - Zip Code:47451-9714
Practice Address - Country:US
Practice Address - Phone:812-583-2823
Practice Address - Fax:812-278-3140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services