Organization
PERSON CENTERED SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY B ROGERS (CO-OWNER)
(910) 286-3821
Entity
Organization
Contact information
Practice address
7320 AVILA DR, FAYETTEVILLE, NC 28314-6524
(910) 286-3821
(910) 868-4045
Mailing address
7320 AVILA DR, FAYETTEVILLE, NC 28314-6524
(910) 286-3821
(910) 868-4045
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409436
—
NC
Enumeration date
08/31/2006
Last updated
08/22/2020
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