Provider Demographics
NPI:1285119693
Name:PRECIOUS ANGEL HOME CARE SERVICES INC
Entity type:Organization
Organization Name:PRECIOUS ANGEL HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:AHABUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-490-9355
Mailing Address - Street 1:PO BOX 675133
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30006-0010
Mailing Address - Country:US
Mailing Address - Phone:404-490-9355
Mailing Address - Fax:
Practice Address - Street 1:2470 WINDY HILL RD SE STE 253
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8619
Practice Address - Country:US
Practice Address - Phone:404-490-9355
Practice Address - Fax:404-596-8807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care