Healthcare Provider Details

I. General information

NPI: 1477593291
Provider Name (Legal Business Name): PRECIOUS GEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 12/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 N BON MARCHE DR
BATON ROUGE LA
70806-2257
US

IV. Provider business mailing address

910 N BON MARCHE DR
BATON ROUGE LA
70806-2257
US

V. Phone/Fax

Practice location:
  • Phone: 225-952-0747
  • Fax: 225-952-0737
Mailing address:
  • Phone: 225-952-0747
  • Fax: 225-952-0737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number10717
License Number StateLA

VIII. Authorized Official

Name: MRS. MARGIE D JENKINS
Title or Position: DIRECTOR
Credential:
Phone: 225-952-0747