Provider Demographics
NPI:1003452996
Name:PRECIOUS HOME CARE AGENCY CORPORATION
Entity Type:Organization
Organization Name:PRECIOUS HOME CARE AGENCY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MADEIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:215-970-7911
Mailing Address - Street 1:225 N PRESIDENTIAL BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1258
Mailing Address - Country:US
Mailing Address - Phone:215-907-7911
Mailing Address - Fax:
Practice Address - Street 1:225 N PRESIDENTIAL BLVD STE 103
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1258
Practice Address - Country:US
Practice Address - Phone:215-907-7911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-26
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health