Provider Demographics
NPI:1932648250
Name:JEWELS LOVING CARE HOMES
Entity Type:Organization
Organization Name:JEWELS LOVING CARE HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATRICE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:MARZETT
Authorized Official - Suffix:
Authorized Official - Credentials:BHCMII
Authorized Official - Phone:405-313-7374
Mailing Address - Street 1:2908 OLYMPIA DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-8008
Mailing Address - Country:US
Mailing Address - Phone:405-313-7374
Mailing Address - Fax:
Practice Address - Street 1:2908 OLYMPIA DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-8008
Practice Address - Country:US
Practice Address - Phone:405-313-7374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2017-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home