Organization
PRECIOUS PLACES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESHRA M VINES-LEAK (HEALTHCARE ADMINISTRATOR)
(419) 491-0970
Entity
Organization
Contact information
Practice address
1219 N DYE RD, FLINT, MI 48532-2216
(810) 233-6696
(810) 233-6696
Mailing address
6228 MERGER DR, HOLLAND, OH 43528-9593
(419) 491-0970
(419) 491-0971
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050702
—
OH
Enumeration date
07/04/2014
Last updated
04/29/2026
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