Provider Demographics
NPI:1215311873
Name:PRECISION PERSONAL CARE INC.
Entity type:Organization
Organization Name:PRECISION PERSONAL CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-968-4551
Mailing Address - Street 1:705 W MARKET ST
Mailing Address - Street 2:UNIT 7
Mailing Address - City:ORWIGSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17961-1010
Mailing Address - Country:US
Mailing Address - Phone:570-968-4551
Mailing Address - Fax:570-968-4552
Practice Address - Street 1:705 W MARKET ST
Practice Address - Street 2:UNIT 7
Practice Address - City:ORWIGSBURG
Practice Address - State:PA
Practice Address - Zip Code:17961-1010
Practice Address - Country:US
Practice Address - Phone:570-968-4551
Practice Address - Fax:570-968-4552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA22773601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care