Provider Demographics
NPI:1750001152
Name:PRECIOUS CARE AND MEMORIES LLC
Entity type:Organization
Organization Name:PRECIOUS CARE AND MEMORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRETTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-277-4857
Mailing Address - Street 1:207 N NOLAN PARK DR
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:NC
Mailing Address - Zip Code:27576-3265
Mailing Address - Country:US
Mailing Address - Phone:704-277-4857
Mailing Address - Fax:
Practice Address - Street 1:207 N NOLAN PARK DR
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:NC
Practice Address - Zip Code:27576-3265
Practice Address - Country:US
Practice Address - Phone:704-277-4857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health