Provider Demographics
NPI:1326282682
Name:PRECIOUS HOME HEALTHCARE AGENCY INC
Entity Type:Organization
Organization Name:PRECIOUS HOME HEALTHCARE AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:GRIGORIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-885-6500
Mailing Address - Street 1:18531 ROSCOE BLVD
Mailing Address - Street 2:SUITE 222
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-4641
Mailing Address - Country:US
Mailing Address - Phone:818-885-6500
Mailing Address - Fax:818-773-0832
Practice Address - Street 1:18531 ROSCOE BLVD
Practice Address - Street 2:SUITE 222
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-4641
Practice Address - Country:US
Practice Address - Phone:818-885-6500
Practice Address - Fax:818-773-0832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health