Provider Demographics
NPI:1487045894
Name:PRECIOUS HANDS ADULT DAYCARE
Entity Type:Organization
Organization Name:PRECIOUS HANDS ADULT DAYCARE
Other - Org Name:PRECIOUS HANDS ADULT DAYCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TONETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-582-0634
Mailing Address - Street 1:405 N APPLEGATE ST STE A
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:MS
Mailing Address - Zip Code:38967-1826
Mailing Address - Country:US
Mailing Address - Phone:662-508-5002
Mailing Address - Fax:662-508-5092
Practice Address - Street 1:405 N APPLEGATE ST STE A
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MS
Practice Address - Zip Code:38967-1826
Practice Address - Country:US
Practice Address - Phone:662-508-5002
Practice Address - Fax:662-508-5092
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRECIOUS HANDS ADULT DAYCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-09
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X, 385H00000X
MS261QA0600X261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care