Provider Demographics
NPI:1336994268
Name:PERSONALIZED & PRIVATE CHORE PROVIDING SERVICES
Entity Type:Organization
Organization Name:PERSONALIZED & PRIVATE CHORE PROVIDING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLIDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-744-8739
Mailing Address - Street 1:911 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49001-3062
Mailing Address - Country:US
Mailing Address - Phone:269-290-9787
Mailing Address - Fax:
Practice Address - Street 1:911 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-3062
Practice Address - Country:US
Practice Address - Phone:269-290-9787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health