Provider Demographics
NPI:1912453259
Name:PERFECT CARE SOLUTIONS INC
Entity Type:Organization
Organization Name:PERFECT CARE SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EUCABETH
Authorized Official - Middle Name:NYASUGUTA
Authorized Official - Last Name:ONGAU
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:862-200-4024
Mailing Address - Street 1:PERFECT CARE SOLUTIONS 5916 BRAINERD RD SUITE 101
Mailing Address - Street 2:5916 BRAINERD RD SUITE 101
Mailing Address - City:APO
Mailing Address - State:AA
Mailing Address - Zip Code:37421
Mailing Address - Country:US
Mailing Address - Phone:423-702-5134
Mailing Address - Fax:423-702-5269
Practice Address - Street 1:5916 BRAINERD RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3524
Practice Address - Country:US
Practice Address - Phone:423-702-5134
Practice Address - Fax:423-702-5269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000014391251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services