Provider Demographics
NPI:1699005116
Name:PRECIOUS ANGELS HOME CARE
Entity Type:Organization
Organization Name:PRECIOUS ANGELS HOME CARE
Other - Org Name:PRECIOUS ANGELS HOME CARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCMILLIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-527-4853
Mailing Address - Street 1:1310 FORT BRAGG RD STE B
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305-4706
Mailing Address - Country:US
Mailing Address - Phone:910-527-4853
Mailing Address - Fax:
Practice Address - Street 1:1310 FORT BRAGG RD RM 102
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-4706
Practice Address - Country:US
Practice Address - Phone:910-527-4853
Practice Address - Fax:910-425-1582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care