Provider Demographics
NPI:1770321341
Name:PRECIOUS CARE FOSTER HOME
Entity type:Organization
Organization Name:PRECIOUS CARE FOSTER HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:MURAGE
Authorized Official - Last Name:KIERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-215-4317
Mailing Address - Street 1:1298 34TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-2208
Mailing Address - Country:US
Mailing Address - Phone:781-215-4317
Mailing Address - Fax:503-362-2820
Practice Address - Street 1:1298 34TH AVE NW
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97304-2208
Practice Address - Country:US
Practice Address - Phone:781-215-4317
Practice Address - Fax:503-362-2820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness