Organization
PERSONAL BEST SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LOUIS KENDRICK AIPS (CHIEF FINANCIAL OFFICER)
(253) 946-5700
Entity
Organization
Contact information
Practice address
29222 54TH PL S, AUBURN, WA 98001-2157
(253) 946-5700
(253) 397-3448
Mailing address
29222 54TH PL S, P.O. BOX 1976, AUBURN, WA 98001-2157
(253) 946-5700
(253) 397-3448
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
NPOL.NR.60464158
WA
305R00000X
Preferred Provider Organization
Primary
UBI603236079
WA
332U00000X
Home Delivered Meals
IHSFS60458786
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IHSFS60458786
WASHINGTON DEPARTMENT OF HEALTH
WA
01
—
NPOL.NR.60464158
NURSES REGISTRATION POOL LICENSE
WA
Enumeration date
03/25/2014
Last updated
04/09/2014
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