Healthcare Provider Details

I. General information

NPI: 1235161738
Provider Name (Legal Business Name): PREFERRED MEDICAL PERSONNEL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 N MULBERRY ST
CHILLICOTHEE OH
45601-2515
US

IV. Provider business mailing address

132 N MULBERRY ST
CHILLICOTHEE OH
45601-2515
US

V. Phone/Fax

Practice location:
  • Phone: 740-779-1764
  • Fax: 740-774-9627
Mailing address:
  • Phone: 740-779-1764
  • Fax: 740-774-9627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateOH

VIII. Authorized Official

Name: MRS. VERONICA WINKS
Title or Position: OWNER
Credential: RN
Phone: 740-779-1764