Provider Demographics
NPI:1730500786
Name:PRECIOUS IN-HOME CARE
Entity type:Organization
Organization Name:PRECIOUS IN-HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-262-1347
Mailing Address - Street 1:6530 SECOR RD
Mailing Address - Street 2:STE #7
Mailing Address - City:LAMBERTVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48144-9456
Mailing Address - Country:US
Mailing Address - Phone:419-262-1347
Mailing Address - Fax:734-719-3611
Practice Address - Street 1:6530 SECOR RD
Practice Address - Street 2:STE #7
Practice Address - City:LAMBERTVILLE
Practice Address - State:MI
Practice Address - Zip Code:48144-9456
Practice Address - Country:US
Practice Address - Phone:419-262-1347
Practice Address - Fax:734-719-3611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health