Provider Demographics
NPI:1366676058
Name:MY PRECIOUS HEALTHCARE, LLP SERVICES
Entity type:Organization
Organization Name:MY PRECIOUS HEALTHCARE, LLP SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMBITO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:732-533-3626
Mailing Address - Street 1:204 JERRY CT
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8386
Mailing Address - Country:US
Mailing Address - Phone:732-533-3626
Mailing Address - Fax:732-761-2274
Practice Address - Street 1:204 JERRY CT
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8386
Practice Address - Country:US
Practice Address - Phone:732-533-3626
Practice Address - Fax:732-761-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0126300251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health