MEDICARE: PRECIOUS HOME HEALTH CARE INC

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
1	251E00000X	Home Health Agency	457969	TX

General Provider Information

NPI Number	:	1255529046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECIOUS HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	3435 HIGHLAND RD
Second Line	:	STE# 200
City	:	DALLAS
State	:	TX
Zip	:	75228-6068
Country	:	US
Telephone Number	:	972-686-4209
Fax Number	:	972-686-3825

Provider Business Practice Location Address
First Line	:	3435 HIGHLAND RD
Second Line	:	STE# 200
City	:	DALLAS
State	:	TX
Zip	:	75228-6068
Country	:	US
Telephone Number	:	972-686-4209
Fax Number	:	972-686-3825

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	GLORIA UCHEBUNMA NWEKE
Credential	:	RN
Telephone Number	:	972-686-4209

Provider Enumeration Date	:	10/05/2007
Last Update Date	:	09/08/2014

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