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Organization
PERSONALIZED SUPPORT SERVICES LTD LIABILITY CO.
Active
Organization
PERSONALIZED SUPPORT SERVICES LTD LIABILITY CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI MCGOWAN BA (OWNER)
(908) 414-7510
Entity
Organization
Contact information
Practice address
40 EDGE HILL RD, BLAIRSTOWN, NJ 07825-9788
(908) 414-7510
Mailing address
PO BOX 263, BLAIRSTOWN, NJ 07825-0263
(908) 343-9218
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
175T00000X
Peer Specialist
—
NULL
175T00000X
Peer Specialist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
347C00000X
Private Vehicle
—
NULL
372500000X
Chore Provider
—
NULL
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
Other
Enumeration date
02/14/2018
Last updated
06/10/2021
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