Provider Demographics
NPI:1003583550
Name:PRECISION CARE HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:PRECISION CARE HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:WANKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-305-5767
Mailing Address - Street 1:1420 N ST NW UNIT 15
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-2843
Mailing Address - Country:US
Mailing Address - Phone:240-305-5767
Mailing Address - Fax:
Practice Address - Street 1:1420 N ST NW UNIT 15
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-2843
Practice Address - Country:US
Practice Address - Phone:240-305-5767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No385H00000XRespite Care FacilityRespite Care