Provider Demographics
NPI:1649411216
Name:PRECIOUS HEALTH CARE, LLC
Entity Type:Organization
Organization Name:PRECIOUS HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:FRIMPONG
Authorized Official - Last Name:KWAKYE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-268-3295
Mailing Address - Street 1:1391 OAKLAND PARK AVENUE
Mailing Address - Street 2:SUITE H
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-3567
Mailing Address - Country:US
Mailing Address - Phone:614-268-3295
Mailing Address - Fax:614-268-3778
Practice Address - Street 1:1391 OAKLAND PARK AVENUE
Practice Address - Street 2:SUITE H
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-3567
Practice Address - Country:US
Practice Address - Phone:614-268-3295
Practice Address - Fax:614-268-3778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-11
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3053921Medicaid
OH3053921Medicaid