Healthcare Provider Details
I. General information
NPI: 1952104002
Provider Name (Legal Business Name): PREFERRED RESOURCES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/31/2025
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3721 BENSON DR
RALEIGH NC
27609-7390
US
IV. Provider business mailing address
PO BOX 61253
RALEIGH NC
27661-1253
US
V. Phone/Fax
- Phone: 919-348-9943
- Fax:
- Phone: 919-348-9943
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 372600000X |
| Taxonomy | Adult Companion |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHAKEILA
ANDREWS
Title or Position: ADMINISTRATION
Credential:
Phone: 252-406-0647