House Of Jabez Llc

LBN: House Of Jabez Llc
House Of Jabez Llc is an health care organization with primary practice located at 203 Dock Street , Fremont NC 27830-0662. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. House Of Jabez Llc can be contacted via phone (919) 242-1296, or through Wilkins, Clyde Randolph via phone 19192426115.

Contact Information

Primary practice address
203 Dock Street Fremont NC 27830-0662
Phone: (919) 242-1296
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilkins, Clyde Randolph
Phone: 19192426115

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL 096-195 North Carolina

Profile Details

NPI number 1376757252
LBN Legal business name House Of Jabez Llc
DBA Doing business as
Authorized official Wilkins, Clyde Randolph
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Aug 22nd, 2020 - about 4 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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