NPI | 1174162408 |
---|---|
Former Legal Business Name | PRECIOUS GEMS HOMES |
Entity Type | Organization |
Authorized Contact | SYREETA DWEH-CHENNEH Owner 774-361-4056 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2020-01-03 |
Last Update Date | 2020-01-03 |