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NPI Code Detail

MEDICARE: PRECISION HEALTHCARE SERVICES

MEDICARE: PRECISION HEALTHCARE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1134485576
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRECISION HEALTHCARE SERVICES
Provider Business Mailing Address
First Line : 4470 SWEETGUM WAY
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-7416
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4470 SWEETGUM WAY
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-7416
Country : US
Telephone Number : 817-655-2542
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR/CEO
Name : MISS THADNESIA RILES
Credential :
Telephone Number : 817-655-2542
Provider Enumeration Date : 04/10/2012
Last Update Date : 04/10/2012

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Directions to “PRECISION HEALTHCARE SERVICES ” Practice Location

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