Provider Demographics
NPI:1740607936
Name:PERSONAL BEST SERVICES LLC
Entity Type:Organization
Organization Name:PERSONAL BEST SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:KENDRICK
Authorized Official - Suffix:
Authorized Official - Credentials:AIPS
Authorized Official - Phone:253-946-5700
Mailing Address - Street 1:29222 54TH PL S
Mailing Address - Street 2:P.O. BOX 1976
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-2157
Mailing Address - Country:US
Mailing Address - Phone:253-946-5700
Mailing Address - Fax:253-397-3448
Practice Address - Street 1:29222 54TH PL S
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98001-2157
Practice Address - Country:US
Practice Address - Phone:253-946-5700
Practice Address - Fax:253-397-3448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANPOL.NR.60464158302F00000X
WAUBI603236079305R00000X
WAIHSFS60458786332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
WANPOL.NR.60464158OtherNURSES REGISTRATION POOL LICENSE
WAIHSFS60458786OtherWASHINGTON DEPARTMENT OF HEALTH