Provider Demographics
NPI:1184380727
Name:PRECIOUS HEARTS LOVING HANDS COMP SERV,LLC
Entity type:Organization
Organization Name:PRECIOUS HEARTS LOVING HANDS COMP SERV,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NECOLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-704-5528
Mailing Address - Street 1:PO BOX 7945
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32238-0945
Mailing Address - Country:US
Mailing Address - Phone:904-704-5528
Mailing Address - Fax:
Practice Address - Street 1:6006 ANDERSON RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-1917
Practice Address - Country:US
Practice Address - Phone:904-704-5528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health