Organization · NPI-2

Gems65 & Older Plus More

Private Vehicle · Dallas, TX

NPI number1922485630

StatusActive

Last updated in NPPESMay 11, 2015

Details

NPI: 1922485630
Entity type: Organization (NPI-2)
Legal business name: Gems65 & Older Plus More
Organization subpart: No
Enumeration date: May 1, 2015
Last updated: May 11, 2015

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
347C00000X	Private Vehicle	–	–	Yes
251V00000X	Voluntary or Charitable	–	–
343900000X	Non-emergency Medical Transport (VAN)	–	–

Practice location

325 N. St. Paul
Ste. 3100
Dallas, TX 75201

Phone 469-513-4064 · Fax 469-513-4001

Mailing address

325 N. St. Paul
Ste. 3100
Dallas, TX 75201

Phone 469-513-4064

Authorized official

Stephanie Jackson
Director
4695134064

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