Provider Demographics
NPI:1346844743
Name:PRECIOUS & DESTINY SENIOR LIVING INC.
Entity Type:Organization
Organization Name:PRECIOUS & DESTINY SENIOR LIVING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERMITH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAINTILUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-235-7853
Mailing Address - Street 1:782 SW 54TH AVE
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-3050
Mailing Address - Country:US
Mailing Address - Phone:754-235-7853
Mailing Address - Fax:954-597-6436
Practice Address - Street 1:782 SW 54TH AVE
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33068-3050
Practice Address - Country:US
Practice Address - Phone:754-235-7853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility