Provider Demographics
NPI:1225580103
Name:PRECISE HOME COMPANIONS
Entity Type:Organization
Organization Name:PRECISE HOME COMPANIONS
Other - Org Name:EUGENIA MAYS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDEDEVELOPMENTAL DISABILITIES
Authorized Official - Prefix:
Authorized Official - First Name:EUGENIA
Authorized Official - Middle Name:DELPHINE
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:APD CORE TRANANING /
Authorized Official - Phone:941-580-0622
Mailing Address - Street 1:2606 4TH ST E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-3813
Mailing Address - Country:US
Mailing Address - Phone:941-580-0622
Mailing Address - Fax:941-257-5001
Practice Address - Street 1:2606 4TH ST E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-3813
Practice Address - Country:US
Practice Address - Phone:941-580-0622
Practice Address - Fax:941-257-5001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL231014302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002843500Medicaid