# PRIDE SUPPORT SERVICES INC

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

## Provider details

- **NPI number:** 1417447723
- **Authorized official:** MS. MICHELE CORROW (CO-OWNER)
- **Authorized official phone:** (802) 279-1736

## Contact information

- **Practice address:** 36 SUMMER ST, BARRE, VT 05641-3773
- **Practice address phone:** (802) 479-5801
- **Mailing address:** PO BOX 969, BARRE, VT 05641-0969
- **Mailing address phone:** (802) 479-5801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2018
- **Last updated:** 05/11/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 047W288 | — | VT |
| 05 | — | 1009952 | — | VT |
| 05 | — | 1010068 | — | VT |
