Provider Demographics
NPI:1689330151
Name:PRECIOUS STONES HOMES LLC
Entity Type:Organization
Organization Name:PRECIOUS STONES HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-338-2678
Mailing Address - Street 1:55 KLEER VU DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38012-2165
Mailing Address - Country:US
Mailing Address - Phone:731-326-5080
Mailing Address - Fax:731-326-5081
Practice Address - Street 1:55 KLEER VU DR
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38012-2165
Practice Address - Country:US
Practice Address - Phone:731-326-5080
Practice Address - Fax:731-326-5081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care