# PERSONALIZED SUPPORT SERVICES LTD LIABILITY CO.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215437421
- **Authorized official:** TERRI MCGOWAN BA (OWNER)
- **Authorized official phone:** (908) 414-7510

## Contact information

- **Practice address:** 40 EDGE HILL RD, BLAIRSTOWN, NJ 07825-9788
- **Practice address phone:** (908) 414-7510
- **Mailing address:** PO BOX 263, BLAIRSTOWN, NJ 07825-0263
- **Mailing address phone:** (908) 343-9218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 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