Provider Demographics
NPI:1790455509
Name:PRECIOUS JEWELS HOME CARE SERVICES
Entity Type:Organization
Organization Name:PRECIOUS JEWELS HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:407-580-9466
Mailing Address - Street 1:44 OLD CEDARBROOK RD
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-2039
Mailing Address - Country:US
Mailing Address - Phone:407-580-9466
Mailing Address - Fax:
Practice Address - Street 1:44 OLD CEDARBROOK RD
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-2039
Practice Address - Country:US
Practice Address - Phone:407-580-9466
Practice Address - Fax:215-242-2456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA43373601OtherIN HOME SUPPORT CARE AGENCY