Provider Demographics
NPI:1326239922
Name:PERSONAL BEST SUPPORTIVE HELP SERVICES, INC
Entity Type:Organization
Organization Name:PERSONAL BEST SUPPORTIVE HELP SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, QUALIFIED PROFESSIONAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:QUALIFIED PROFESSION
Authorized Official - Phone:336-351-4209
Mailing Address - Street 1:1195 DEARMIN RD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27053-7104
Mailing Address - Country:US
Mailing Address - Phone:336-351-4209
Mailing Address - Fax:336-351-4263
Practice Address - Street 1:1195 DEARMIN RD
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NC
Practice Address - Zip Code:27053-7104
Practice Address - Country:US
Practice Address - Phone:336-351-4209
Practice Address - Fax:336-351-4263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management