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Jabez Residential Inc

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.

physician-icon Basic Information

Practice Location 212 Tilghman Street, Kenly, NC 27542-1214, US
Practice Location Phone919-284-3723
Practice Location Fax
Legal Business NameJABEZ RESIDENTIAL INC
NPI ?1629208699
Entity TypeOrganization
Enumeration Date ? Jul 23, 2009
Last Update Date ? Jul 23, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Jabez Residential Inc

SpecialtySpecializationLicenseLicense State
Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities MHL051174North Carolina

official-icon Authorized Official of Jabez Residential Inc

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/PositionOWNER
Authorized Official Phone Number919-284-3723