# PRECIOUS HOME SERVICE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023298379
- **Authorized official:** MR. NOSA OGIE (PRESIDENT/CEO)
- **Authorized official phone:** (763) 425-2830

## Contact information

- **Practice address:** 5511 102ND AVE N, BROOKLYN PARK, MN 55443-2074
- **Practice address phone:** (736) 425-2830
- **Mailing address:** 5511 102ND AVE N, BROOKLYN PARK, MN 55443-2074
- **Mailing address phone:** (763) 435-2830
- **Mailing address fax:** (763) 425-2830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | 334862 | MN | Yes |
| 251J00000X | Nursing Care Agency | 334863 | MN | — |

## Other

- **Enumeration date:** 11/04/2007
- **Last updated:** 11/04/2007
