Provider Demographics
NPI:1215096045
Name:PRECIOUS NURSES HEALTHCARE AGENCY, INC
Entity type:Organization
Organization Name:PRECIOUS NURSES HEALTHCARE AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LINUS
Authorized Official - Middle Name:U
Authorized Official - Last Name:ANUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-530-2106
Mailing Address - Street 1:104 W UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61801-1775
Mailing Address - Country:US
Mailing Address - Phone:217-328-0036
Mailing Address - Fax:217-328-0765
Practice Address - Street 1:104 W UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61801-1775
Practice Address - Country:US
Practice Address - Phone:217-328-0036
Practice Address - Fax:217-328-0765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1740675251E00000X
IL2006-N0867251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care