Provider Demographics
NPI:1699532036
Name:JEWEL HEALTHCARE SERVICES INC.
Entity type:Organization
Organization Name:JEWEL HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIKHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAIYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-708-9999
Mailing Address - Street 1:5301 BUCKEYSTOWN PIKE STE 480A
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-8357
Mailing Address - Country:US
Mailing Address - Phone:240-889-1800
Mailing Address - Fax:
Practice Address - Street 1:5301 BUCKEYSTOWN PIKE STE 480A
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-8357
Practice Address - Country:US
Practice Address - Phone:240-889-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities