Organization
GEM ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SNERICA NICKELBERRY (CEO)
(318) 519-7171
Entity
Organization
Contact information
Practice address
2218 GENERAL TAYLOR DR, BOSSIER CITY, LA 71112-4772
(318) 519-7171
Mailing address
2218 GENERAL TAYLOR DR, BOSSIER CITY, LA 71112-4772
(318) 519-7171
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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