Provider Demographics
NPI:1093049793
Name:PRECISION CPAP, INC.
Entity Type:Organization
Organization Name:PRECISION CPAP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MALISA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-285-6120
Mailing Address - Street 1:2140 COBBS FORD RD
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36066-7700
Mailing Address - Country:US
Mailing Address - Phone:334-285-6120
Mailing Address - Fax:334-285-6123
Practice Address - Street 1:3604 HIGHWAY 78 E
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-8909
Practice Address - Country:US
Practice Address - Phone:205-265-2565
Practice Address - Fax:205-265-2567
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRECISION CPAP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL091258332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies