Healthcare Provider Details

I. General information

NPI: 1326614173
Provider Name (Legal Business Name): PRECIOUS AID HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2021
Last Update Date: 06/07/2021
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3421 NW 7TH AVE
MIAMI FL
33127-3305
US

IV. Provider business mailing address

3421 NW 7TH AVE
MIAMI FL
33127-3305
US

V. Phone/Fax

Practice location:
  • Phone: 786-356-6575
  • Fax:
Mailing address:
  • Phone: 786-356-6575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JANE LETTERBOOM
Title or Position: ADMINISTRATOR
Credential:
Phone: 786-356-6575