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General NPI Number Information
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NPI Number | 1568814689
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Entity Type | Organization
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Legal Business Name | PRECIOUS ADULT CARE INC.
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Dates
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Enumeration Date | 07/13/2016
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 121 FAGAN RD
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City | WINNSBORO
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State | SC
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Zip | 29180-9584
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Country | US
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Telephone | 803-635-3755
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Fax |
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Provider Business Mailing Address
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Address Line | 121 FAGAN RD
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City | WINNSBORO
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State | SC
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Zip | 29180-9584
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Country | US
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Telephone | 803-635-3755
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. SHARON JOHNSON BATES
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Credential |
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Telephone | 803-635-3755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | ADC-0173
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | IHCP-0207
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License Number State | SC
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