Organization
PRECIOUS COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE WILSON (CEO)
(402) 378-8508
Entity
Organization
Contact information
Practice address
105 N 31ST AVE STE 212, OMAHA, NE 68131-2915
(402) 378-8508
(402) 939-0676
Mailing address
105 N 31ST AVE STE 212, OMAHA, NE 68131-2915
(402) 378-8508
(402) 939-0676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
01/10/2022
Last updated
10/12/2023
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