Provider Demographics
NPI:1457783441
Name:PRESLAR SENIOR CARE LLC
Entity Type:Organization
Organization Name:PRESLAR SENIOR CARE LLC
Other - Org Name:HOME INSTEAD FRANCHISE 577
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:PRESLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-249-4988
Mailing Address - Street 1:206 S SAUNDERS ST STE 101
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-2300
Mailing Address - Country:US
Mailing Address - Phone:830-249-4988
Mailing Address - Fax:
Practice Address - Street 1:206 S SAUNDERS ST STE 101
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2300
Practice Address - Country:US
Practice Address - Phone:830-249-4988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-01
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care