House Of Jabez Llc in Goldsboro - Community Based Residential Treatment Facility, Mental Illness
House Of Jabez Llc - NPI 1376757252
House Of Jabez Llc is a Community Based Residential Treatment Facility, Mental Illness in Goldsboro, North Carolina. House Of Jabez Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for House Of Jabez Llc is 1376757252. The last update date is 2020-08-22.
House Of Jabez Llc's current location address is 1516 A N. William Street, Goldsboro, North Carolina. You can contact this provider via phone number 9196481190. The mailing address for House Of Jabez Llc is 1516 A N. William Street, Goldsboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | House Of Jabez Llc |
|---|---|
| Address | 1516 A N. William Street, Goldsboro, North Carolina |
| Phone Number | 9196481190 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Wilkins Randolph Clyde |
| Telephone Number | 1919242611 |
NPI Number Detail
| NPI Number | 1376757252 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1516 A N. William Street |
|---|---|
| City | Goldsboro |
| State | North Carolina (NC) |
| Post Code | 275301616 |
| Phone Number | 9196481190 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | MHL 096-195 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the unique 10-digit identifier code assigned to House Of Jabez Llc by the Centers for Medicare & Medicaid Services?
The House Of Jabez Llc has been issued the NPI (National Provider Identifier) 1376757252 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where House Of Jabez Llc is physically located?
The House Of Jabez Llc is situated at the following address: 1516 A N. William Street, Goldsboro, NC 275301616.
What is the area of specialization for House Of Jabez Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for House Of Jabez Llc is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of expertise is 320800000X.
On what date did House Of Jabez Llc receive its 1376757252 assignment from the Centers for Medicare & Medicaid Services?
The House Of Jabez Llc was assigned its 1376757252 on 2007-05-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to House Of Jabez Llc most recently updated or revised?
The details related to House Of Jabez Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.