Provider Demographics
NPI:1710489240
Name:PRECISION HEARING CARE
Entity Type:Organization
Organization Name:PRECISION HEARING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAGHEF
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:404-512-4424
Mailing Address - Street 1:16114 NURSERY LN
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2211
Mailing Address - Country:US
Mailing Address - Phone:404-512-4424
Mailing Address - Fax:
Practice Address - Street 1:16114 NURSERY LN
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-2211
Practice Address - Country:US
Practice Address - Phone:404-512-4424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-28
Last Update Date:2018-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01402237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty