Provider Demographics
NPI:1629468046
Name:PRECIOUS TIME NON MEDICAL HOME CARE/CONCIERGE SERVICES
Entity Type:Organization
Organization Name:PRECIOUS TIME NON MEDICAL HOME CARE/CONCIERGE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-920-2465
Mailing Address - Street 1:PO BOX 5395
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48090-5395
Mailing Address - Country:US
Mailing Address - Phone:586-920-2465
Mailing Address - Fax:586-619-7394
Practice Address - Street 1:28800 VAN DYKE AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-2747
Practice Address - Country:US
Practice Address - Phone:586-920-2465
Practice Address - Fax:586-619-7394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-24
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care