Healthcare Provider Details

I. General information

NPI: 1295202349
Provider Name (Legal Business Name): PERSONAL ASSISTANCE OPTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2018
Last Update Date: 10/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 WASHINGTON STREET SUITE C
MIDLAND MI
48640
US

IV. Provider business mailing address

1509 WASHINGTON STREET SUITE C
MIDLAND MI
48640
US

V. Phone/Fax

Practice location:
  • Phone: 989-837-8350
  • Fax: 989-698-0101
Mailing address:
  • Phone: 989-837-8350
  • Fax: 989-698-0101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MS. KATHLEEN SUSANNE ALLEN
Title or Position: EXECUTIVE DIRECTOR
Credential: BSW
Phone: 989-837-8350