Provider Demographics
NPI:1841809506
Name:PRECISE HOME CARE SOLUTIONS LLC
Entity type:Organization
Organization Name:PRECISE HOME CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPR INSTRUCTOR, PCA
Authorized Official - Phone:601-320-7122
Mailing Address - Street 1:27 HIDDEN PT
Mailing Address - Street 2:
Mailing Address - City:PURVIS
Mailing Address - State:MS
Mailing Address - Zip Code:39475-5432
Mailing Address - Country:US
Mailing Address - Phone:601-320-7122
Mailing Address - Fax:769-456-5028
Practice Address - Street 1:811 MAIN ST STE 15
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MS
Practice Address - Zip Code:39429-2711
Practice Address - Country:US
Practice Address - Phone:601-320-7122
Practice Address - Fax:769-456-5028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health