Provider Demographics
NPI:1295202349
Name:PERSONAL ASSISTANCE OPTIONS
Entity Type:Organization
Organization Name:PERSONAL ASSISTANCE OPTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:SUSANNE
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:989-837-8350
Mailing Address - Street 1:1509 WASHINGTON STREET
Mailing Address - Street 2:SUITE C
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640
Mailing Address - Country:US
Mailing Address - Phone:989-837-8350
Mailing Address - Fax:989-698-0101
Practice Address - Street 1:1509 WASHINGTON STREET
Practice Address - Street 2:SUITE C
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640
Practice Address - Country:US
Practice Address - Phone:989-837-8350
Practice Address - Fax:989-698-0101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle