Organization
PRECIOUS MOMENTS COMMUNITY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHONDA ACKLES RN (OWNER)
(419) 230-5115
Entity
Organization
Contact information
Practice address
3105 OXFORD ST, FORT WAYNE, IN 46806-4383
(419) 230-5115
Mailing address
3105 OXFORD ST, FORT WAYNE, IN 46806-4383
(419) 230-5115
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
05/04/2026
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