Provider Demographics
NPI:1972126787
Name:PRECIOUS GEMS ADULT DAY CARE INC
Entity Type:Organization
Organization Name:PRECIOUS GEMS ADULT DAY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:G
Authorized Official - Last Name:ZAPATA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:512-763-4690
Mailing Address - Street 1:8411 N IH 35
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-5713
Mailing Address - Country:US
Mailing Address - Phone:512-763-4690
Mailing Address - Fax:866-339-4149
Practice Address - Street 1:8411 N IH 35
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-5713
Practice Address - Country:US
Practice Address - Phone:512-763-4690
Practice Address - Fax:866-339-4149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care