Provider Demographics
NPI:1154784924
Name:PRECIOUS CARE SERVICE LLC
Entity type:Organization
Organization Name:PRECIOUS CARE SERVICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DALOPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-569-9616
Mailing Address - Street 1:3650 S EASTERN AVE
Mailing Address - Street 2:SUITE 330B
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-3379
Mailing Address - Country:US
Mailing Address - Phone:702-569-9616
Mailing Address - Fax:775-727-2085
Practice Address - Street 1:3650 S EASTERN AVE
Practice Address - Street 2:SUITE 330B
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-3379
Practice Address - Country:US
Practice Address - Phone:702-569-9616
Practice Address - Fax:775-727-2085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5548PCS-11253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care