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General NPI Number Information
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NPI Number | 1770040883
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Entity Type | Organization
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Legal Business Name | PRECIOUS GROUP HOME CARE LLC
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Dates
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Enumeration Date | 02/25/2019
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 2200 S BAGDAD RD
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City | LEANDER
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State | TX
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Zip | 78641-2818
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Country | US
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Telephone | 512-541-1606
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Fax | 512-221-2927
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Provider Business Mailing Address
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Address Line | 2200 S BAGDAD RD
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City | LEANDER
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State | TX
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Zip | 78641-2818
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Country | US
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Telephone | 512-541-1606
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Fax | 512-221-2927
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. RITA UZOMBA
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Credential | MSA
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Telephone | 512-541-1606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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