Climbing Jacobs Ladder Llc

LBN: Climbing Jacobs Ladder Llc
Climbing Jacobs Ladder Llc is an health care organization with primary practice located at 3401 Healy Dr Suite-B, Winston Salem NC 27103-1450. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Climbing Jacobs Ladder Llc can be contacted via phone (336) 760-5516, or through Paul, James Robert via phone (336) 760-5516.

Contact Information

Primary practice address
3401 Healy Dr Suite-B Winston Salem NC 27103-1450
Fax: (336) 760-5517
Website:
Authorized official contact:
Name: Paul, James Robert

Profile Details

NPI number 1215024682
LBN Legal business name Climbing Jacobs Ladder Llc
DBA Doing business as
Authorized official Paul, James Robert
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Jun 10th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215024682 NPPES
North Carolina MEDICAID 8301092

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