Provider Demographics
NPI:1831478262
Name:PRECIOUS CARE HOME HEALTH AIDES
Entity Type:Organization
Organization Name:PRECIOUS CARE HOME HEALTH AIDES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:678-743-4479
Mailing Address - Street 1:11205 ALPHARETTA HWY
Mailing Address - Street 2:SUITE G2
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-5610
Mailing Address - Country:US
Mailing Address - Phone:678-743-4479
Mailing Address - Fax:678-240-0740
Practice Address - Street 1:11205 ALPHARETTA HWY
Practice Address - Street 2:SUITE G2
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5610
Practice Address - Country:US
Practice Address - Phone:678-743-4479
Practice Address - Fax:678-240-0740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization