# PRECIOUS MOMENTS HOME HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1407508302
- **Authorized official:** DAPHNE LYONS (OWNER)
- **Authorized official phone:** (757) 717-8984

## Contact information

- **Practice address:** 936 FLINTFIELD CRES, CHESAPEAKE, VA 23321-2810
- **Practice address phone:** (757) 717-8984
- **Practice address fax:** (757) 488-1907
- **Mailing address:** 936 FLINTFIELD CRES, CHESAPEAKE, VA 23321-2810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/21/2022
- **Last updated:** 01/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1062529982 | — | VA |
