Organization
PRECIOUS ONES PERSONAL CARE HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOBBIE JEAN RICHARDSON (OWNER-DIRECTOR)
(229) 498-5425
Entity
Organization
Contact information
Practice address
20944 US HWY 84 EAST, PRECIOUS ONES PERSONAL CARE HOME INC., BOSTON, GA 31626
(229) 498-5425
(229) 263-9820
Mailing address
20944 US HWY 84 EAST, PRECIOUS ONES PERSONAL CARE HOME INC., BOSTON, GA 31626
(229) 498-5425
(229) 263-9820
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
136-01-097-1
GA
332B00000X
Durable Medical Equipment & Medical Supplies
136-01-097-1
GA
343900000X
Non-emergency Medical Transport (VAN)
136-01-097-1
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084790774A
—
GA
05
—
084790774B
—
GA
05
—
084790774C
—
GA
Enumeration date
06/23/2010
Last updated
10/25/2010
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