Healthcare Provider Details

I. General information

NPI: 1972126787
Provider Name (Legal Business Name): PRECIOUS GEMS ADULT DAY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2020
Last Update Date: 05/27/2020
Certification Date: 05/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8411 N IH 35
AUSTIN TX
78753-5713
US

IV. Provider business mailing address

8411 N IH 35
AUSTIN TX
78753-5713
US

V. Phone/Fax

Practice location:
  • Phone: 512-763-4690
  • Fax: 866-339-4149
Mailing address:
  • Phone: 512-763-4690
  • Fax: 866-339-4149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JOE G ZAPATA JR.
Title or Position: CEO
Credential:
Phone: 512-763-4690