Person Centered Support Services, Llc

LBN: Person Centered Support Services, Llc
Person Centered Support Services, Llc is an health care organization with primary practice located at 7320 Avila Dr , Fayetteville NC 28314-6524. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Person Centered Support Services, Llc can be contacted via phone (910) 286-3821, or through Rogers, Mary B via phone (910) 286-3821.

Contact Information

Primary practice address
7320 Avila Dr Fayetteville NC 28314-6524
Phone: (910) 286-3821
Fax: (910) 868-4045
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Mary B
Phone: (910) 286-3821

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1922119437
LBN Legal business name Person Centered Support Services, Llc
DBA Doing business as
Authorized official Rogers, Mary B
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922119437 NPPES
North Carolina MEDICAID 3409436

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