Provider Demographics
NPI:1457973802
Name:PRECISION ADULT CARE SERVICES CORP.
Entity Type:Organization
Organization Name:PRECISION ADULT CARE SERVICES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMINGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-219-1033
Mailing Address - Street 1:83113 LOS CABOS AVE
Mailing Address - Street 2:
Mailing Address - City:COACHELLA
Mailing Address - State:CA
Mailing Address - Zip Code:92236-6320
Mailing Address - Country:US
Mailing Address - Phone:760-835-1245
Mailing Address - Fax:
Practice Address - Street 1:83113 LOS CABOS AVE
Practice Address - Street 2:
Practice Address - City:COACHELLA
Practice Address - State:CA
Practice Address - Zip Code:92236-6320
Practice Address - Country:US
Practice Address - Phone:760-835-1245
Practice Address - Fax:760-249-7665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-08
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care