Provider Demographics
NPI:1659627016
Name:PRECIOUS JEWELS PREVENTION PROGRAM
Entity Type:Organization
Organization Name:PRECIOUS JEWELS PREVENTION PROGRAM
Other - Org Name:SHARON LYNN CARY
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:CARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-886-0798
Mailing Address - Street 1:3658 CALUMET ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1750
Mailing Address - Country:US
Mailing Address - Phone:267-886-0798
Mailing Address - Fax:
Practice Address - Street 1:3658 CALUMET ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19129-1750
Practice Address - Country:US
Practice Address - Phone:267-886-0798
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty