Provider Demographics
NPI:1801928825
Name:PRECIOUS HOSPITALITY CARE INC
Entity type:Organization
Organization Name:PRECIOUS HOSPITALITY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:N
Authorized Official - Last Name:DOREUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-318-1127
Mailing Address - Street 1:7038 ALANA RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211-4183
Mailing Address - Country:US
Mailing Address - Phone:904-318-1127
Mailing Address - Fax:
Practice Address - Street 1:7038 ALANA RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-4183
Practice Address - Country:US
Practice Address - Phone:904-318-1127
Practice Address - Fax:904-744-2399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1334701164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty