Provider Demographics
NPI:1326220401
Name:PRECISE HOME HEALTH CARE SEVICES LLC
Entity Type:Organization
Organization Name:PRECISE HOME HEALTH CARE SEVICES LLC
Other - Org Name:PRECISE HOME HEALTH CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PRADO
Authorized Official - Suffix:
Authorized Official - Credentials:DC, BSN, RN
Authorized Official - Phone:580-762-6000
Mailing Address - Street 1:900 E HARTFORD AVE STE C
Mailing Address - Street 2:
Mailing Address - City:PONCA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:74601-2057
Mailing Address - Country:US
Mailing Address - Phone:580-762-6000
Mailing Address - Fax:580-762-6003
Practice Address - Street 1:900 E HARTFORD AVE STE C
Practice Address - Street 2:
Practice Address - City:PONCA CITY
Practice Address - State:OK
Practice Address - Zip Code:74601-2057
Practice Address - Country:US
Practice Address - Phone:580-762-6000
Practice Address - Fax:580-762-6003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7879251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health