Provider Demographics
NPI:1184168932
Name:PRECIOUS CARE/LLC
Entity type:Organization
Organization Name:PRECIOUS CARE/LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:HILLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-383-8786
Mailing Address - Street 1:904 CAMP FOUR JACKS RD
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-2000
Mailing Address - Country:US
Mailing Address - Phone:228-383-8786
Mailing Address - Fax:228-280-8775
Practice Address - Street 1:904 CAMP FOUR JACKS RD
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39532-2000
Practice Address - Country:US
Practice Address - Phone:228-383-8786
Practice Address - Fax:228-280-8775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care