Jordan Ibrahim Community Services

LBN: Jordan Ibrahim Community Services
Jordan Ibrahim Community Services is an health care organization with primary practice located at 200 E Bessemer Ave Ste 100 , Greensboro NC 27401-1416. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. Jordan Ibrahim Community Services can be contacted via phone (336) 482-1708, or through Green, Tracy via phone (336) 482-1708.

Contact Information

Primary practice address
200 E Bessemer Ave Ste 100 Greensboro NC 27401-1416
Phone: (336) 482-1708
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Green, Tracy
Phone: (336) 482-1708

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X

Profile Details

NPI number 1790545051
LBN Legal business name Jordan Ibrahim Community Services
DBA Doing business as
Authorized official Green, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2024
Last updated Mar 21st, 2024 - about 9 months 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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