Organization
PREFERRED CARE HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORY IZEKOR (CEO)
(857) 308-9491
Entity
Organization
Contact information
Practice address
109 LINCOLN AVE, PAWTUCKET, RI 02861-3546
(857) 308-9491
Mailing address
109 LINCOLN AVE, PAWTUCKET, RI 02861-3546
(857) 308-9491
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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