Jabez Residential Inc is a health care provider in Kenly, NC. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||212 Tilghman Street, Kenly, NC 27542-1214, US|
|Practice Location Phone||919-284-3723|
|Practice Location Fax|
|Legal Business Name||JABEZ RESIDENTIAL INC|
|Enumeration Date ?||Jul 23, 2009|
|Last Update Date ?||Jul 23, 2009|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities||Residential Treatment Facilities||MHL051174||North Carolina|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Jabez Residential Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Damien K Forsythe|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||919-284-3723|