Organization
PRIDE SUPPORT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE CORROW (CO-OWNER)
(802) 279-1736
Entity
Organization
Contact information
Practice address
36 SUMMER ST, BARRE, VT 05641-3773
(802) 479-5801
Mailing address
PO BOX 969, BARRE, VT 05641-0969
(802) 479-5801
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047W288
—
VT
05
—
1009952
—
VT
05
—
1010068
—
VT
Enumeration date
05/11/2018
Last updated
05/11/2018
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