| Jewel Community Care Llc | |
|
1235 S Scales St Reidsville NC 27320-5630 | |
| (919) 649-0903 | |
| Not Available |
| Full Name | Jewel Community Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1235 S Scales St, Reidsville, North Carolina |
| Authorized Official Name and Position | Brianna Mcgahee (OWNER) |
| Authorized Official Contact | 9196490903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewel Community Care Llc 1712 Sun Star Dr Raleigh NC 27610-7281 Ph: () - | Jewel Community Care Llc 1235 S Scales St Reidsville NC 27320-5630 Ph: (919) 649-0903 |
| NPI Number | 1841813177 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 05/21/2020 |
| Certification Date | 05/21/2020 |
| Medicare PECOS PAC ID | 9830588995 |
|---|---|
| Medicare Enrollment ID | O20211110002039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841813177 | NPI | - | NPPES |
| Provider Name | Crystal D Bush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265532527 PECOS PAC ID: 1850426537 Enrollment ID: I20100319000414 |
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