Provider Demographics
NPI:1093695413
Name:PRECIOUS HANDS PCA LLC
Entity type:Organization
Organization Name:PRECIOUS HANDS PCA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KORPUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-538-8547
Mailing Address - Street 1:6310 CAVELL CT
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55428-1888
Mailing Address - Country:US
Mailing Address - Phone:443-538-8547
Mailing Address - Fax:
Practice Address - Street 1:6310 CAVELL CT
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55428-1888
Practice Address - Country:US
Practice Address - Phone:443-538-8547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health