Organization
QUALITY PERSONAL CARE AFH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE SEGURA (ADMIN)
(414) 312-8812
Entity
Organization
Contact information
Practice address
1535 W GOLDCREST AVE, MILWAUKEE, WI 53221-5014
(414) 312-8812
Mailing address
1535 W GOLDCREST AVE, MILWAUKEE, WI 53221-5014
(414) 312-8812
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/31/2022
Last updated
02/28/2022
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