Provider Demographics
NPI:1679397814
Name:PRECIOUS JEWELS BIRTHING PROJECT INC
Entity type:Organization
Organization Name:PRECIOUS JEWELS BIRTHING PROJECT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAJIME
Authorized Official - Middle Name:OLIVIA
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:DOULA
Authorized Official - Phone:870-466-2546
Mailing Address - Street 1:1110 PENISTER ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:AR
Mailing Address - Zip Code:71671-1929
Mailing Address - Country:US
Mailing Address - Phone:870-466-2546
Mailing Address - Fax:
Practice Address - Street 1:1110 PENISTER ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:AR
Practice Address - Zip Code:71671-1929
Practice Address - Country:US
Practice Address - Phone:870-466-2546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)