| Organization Name: | PERSONAL CHOICE QUALITY CARE REGISTRY |
| NPI Number: | 1154648970 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANNON R DAVIS (BUSINESS HEALTH ADMINISTAROR) |
| Mailing Address: | 4395 Old William Penn Hwy Murrysville |
| State: | PA US |
| Postal Code: | 156681926 |
| Phone Number: | 8883908291 |
| Fax Number: | 4127311482 |
| NPI Enumeration Date: | 05/04/2010 |
| NPI Last Update Date: | 05/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 10093601 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |