Provider Demographics
NPI:1366088460
Name:PREFERRED HEALTH SOLUTIONS
Entity type:Organization
Organization Name:PREFERRED HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUKUDZO
Authorized Official - Middle Name:D
Authorized Official - Last Name:MAZAIWANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:866-757-7333
Mailing Address - Street 1:120 SHOAL CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-7262
Mailing Address - Country:US
Mailing Address - Phone:866-757-7333
Mailing Address - Fax:800-720-5171
Practice Address - Street 1:120 SHOAL CREEK CIR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-7262
Practice Address - Country:US
Practice Address - Phone:866-757-7333
Practice Address - Fax:800-720-5171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-23
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty