Healthcare Provider Details

I. General information

NPI: 1699454470
Provider Name (Legal Business Name): A PRECIOUS ELDER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 08/25/2023
Certification Date: 08/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2447 PACIFIC COAST HWY # 222
HERMOSA BEACH CA
90254-2714
US

IV. Provider business mailing address

2447 PACIFIC COAST HWY # 222
HERMOSA BEACH CA
90254-2714
US

V. Phone/Fax

Practice location:
  • Phone: 310-571-5852
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MALIA FREUND
Title or Position: MANAGER
Credential:
Phone: 310-406-4350