Provider Demographics
NPI:1962720755
Name:PERSONAL CARE SERVICE LLC
Entity type:Organization
Organization Name:PERSONAL CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:DOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-886-2460
Mailing Address - Street 1:128A W SLOCOMB ST
Mailing Address - Street 2:
Mailing Address - City:SLOCOMB
Mailing Address - State:AL
Mailing Address - Zip Code:36375-6088
Mailing Address - Country:US
Mailing Address - Phone:334-886-2460
Mailing Address - Fax:334-886-9440
Practice Address - Street 1:128A W SLOCOMB ST
Practice Address - Street 2:
Practice Address - City:SLOCOMB
Practice Address - State:AL
Practice Address - Zip Code:36375-6088
Practice Address - Country:US
Practice Address - Phone:334-886-2460
Practice Address - Fax:334-886-9440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health