Provider Demographics
NPI:1043628100
Name:PRECIOUS PEOPLE HOME CARE AGENCY
Entity Type:Organization
Organization Name:PRECIOUS PEOPLE HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEWALE
Authorized Official - Middle Name:TAIWO
Authorized Official - Last Name:OLAYINKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-728-7061
Mailing Address - Street 1:1109 SAN ANTONIO DR
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-5109
Mailing Address - Country:US
Mailing Address - Phone:469-728-7061
Mailing Address - Fax:
Practice Address - Street 1:1109 SAN ANTONIO DR
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-5109
Practice Address - Country:US
Practice Address - Phone:469-728-7061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health