Provider Demographics
NPI:1902444086
Name:PRECIOUS NEIGHBORS HOME HEALTH
Entity type:Organization
Organization Name:PRECIOUS NEIGHBORS HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DORGBETOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-994-4683
Mailing Address - Street 1:3713 RANCHERS RDG
Mailing Address - Street 2:
Mailing Address - City:KRUM
Mailing Address - State:TX
Mailing Address - Zip Code:76249-1507
Mailing Address - Country:US
Mailing Address - Phone:214-994-4683
Mailing Address - Fax:
Practice Address - Street 1:3713 RANCHERS RDG
Practice Address - Street 2:
Practice Address - City:KRUM
Practice Address - State:TX
Practice Address - Zip Code:76249-1507
Practice Address - Country:US
Practice Address - Phone:214-994-4683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-19
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty