Healthcare Provider Details

I. General information

NPI: 1780901199
Provider Name (Legal Business Name): PRECISION NURSING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2010
Last Update Date: 07/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 TANAGER RD STE 3
MANKATO MN
56001-6252
US

IV. Provider business mailing address

208 TANAGER RD STE 3
MANKATO MN
56001-6252
US

V. Phone/Fax

Practice location:
  • Phone: 507-581-4005
  • Fax: 507-388-5761
Mailing address:
  • Phone: 507-581-4005
  • Fax: 507-388-5761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number348807
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberR189735-1
License Number StateMN

VIII. Authorized Official

Name: LISA ELLEN HASHER
Title or Position: PRESIDENT
Credential: RN
Phone: 507-581-4005