Healthcare Provider Details
I. General information
NPI: 1831948686
Provider Name (Legal Business Name): PRECISION ACCESS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/15/2024
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16167 GOODVIEW TRL
LAKEVILLE MN
55044-8964
US
IV. Provider business mailing address
16167 GOODVIEW TRL
LAKEVILLE MN
55044-8964
US
V. Phone/Fax
- Phone: 952-607-7103
- Fax:
- Phone: 952-607-7103
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
STRINGER
Title or Position: CEO
Credential: RN
Phone: 952-607-7103