Healthcare Provider Details

I. General information

NPI: 1093621039
Provider Name (Legal Business Name): PRECISION CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 MOHAWK AVE NW
PALM BAY FL
32907-7949
US

IV. Provider business mailing address

1050 MOHAWK AVE NW
PALM BAY FL
32907-7949
US

V. Phone/Fax

Practice location:
  • Phone: 321-272-3837
  • Fax: 321-272-3837
Mailing address:
  • Phone: 321-272-3837
  • Fax: 321-272-3837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LEANORA GRANT
Title or Position: OWNER/MANAGER
Credential:
Phone: 321-272-3837