Provider Demographics
NPI:1881063014
Name:PRECISION HOME HEALTH
Entity type:Organization
Organization Name:PRECISION HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NSIKAK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-603-5225
Mailing Address - Street 1:7250 NW EXPRESSWAY
Mailing Address - Street 2:STE 202
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-1534
Mailing Address - Country:US
Mailing Address - Phone:405-603-5225
Mailing Address - Fax:405-525-0515
Practice Address - Street 1:7250 NW EXPRESSWAY
Practice Address - Street 2:STE 202
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-1534
Practice Address - Country:US
Practice Address - Phone:405-603-5225
Practice Address - Fax:405-525-0515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-17
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKHC8049251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health