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
—
—
175T00000X
Peer Specialist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/14/2018
Last updated
06/10/2021
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