Provider Demographics
NPI:1578015400
Name:PRECIOUS LOVE ONES
Entity type:Organization
Organization Name:PRECIOUS LOVE ONES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-401-1140
Mailing Address - Street 1:4053 NEW GRANGE CIR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-2531
Mailing Address - Country:US
Mailing Address - Phone:931-401-1140
Mailing Address - Fax:931-494-8762
Practice Address - Street 1:4053 NEW GRANGE CIR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-2531
Practice Address - Country:US
Practice Address - Phone:931-401-1140
Practice Address - Fax:931-494-8762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care