Organization Name: | PERSONAL SERVICE PROVIDERS |
NPI Number: | 1235506189 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOEL STEPHENS (CEO/ADMINISTRATOR) |
Mailing Address: | 720 Levee St Hoquiam |
State: | WA US |
Postal Code: | 985502517 |
Phone Number: | 3605381540 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2015 |
NPI Last Update Date: | 08/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | IHS.FS.00000408 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |