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Organization

PRECIOUS CARE LLC

Active
Other names
PRECIOUS CARE LLC
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAUS G KOMLA-AZA (PRESIDENT)
(862) 324-1402
Entity
Organization

Contact information

Practice address
2007 SUNNY SLOPE RD, BRIDGEWATER, NJ 08807-3607
(862) 324-1402
(908) 393-1788
Mailing address
2007 SUNNY SLOPE RD, BRIDGEWATER, NJ 08807-3607
(862) 324-1402

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
04/15/2021
Last updated
04/15/2021
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