Provider Demographics
NPI:1053886861
Name:PRECIOUS ANGEL HOME CARE SERVICES INC
Entity type:Organization
Organization Name:PRECIOUS ANGEL HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:O
Authorized Official - Last Name:ATTABUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-490-9355
Mailing Address - Street 1:P.O. BOX 675133
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30006
Mailing Address - Country:US
Mailing Address - Phone:404-490-9355
Mailing Address - Fax:404-596-8807
Practice Address - Street 1:2470 WINDY HILL ROAD, MARIETTA
Practice Address - Street 2:SUITE 253
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067
Practice Address - Country:US
Practice Address - Phone:404-490-9355
Practice Address - Fax:404-596-8807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty