# THE JABEZ HOUSE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376688028
- **Authorized official:** ANGELA DAVINA SEABROOKS (DIRECTOR)
- **Authorized official phone:** (336) 273-1987

## Contact information

- **Practice address:** 1314 E CONE BLVD, GREENSBORO, NC 27405-4532
- **Practice address phone:** (336) 273-1987
- **Practice address fax:** (336) 273-1988
- **Mailing address:** PO BOX 324, GREENSBORO, NC 27402-0324
- **Mailing address phone:** (336) 273-1987
- **Mailing address fax:** (336) 273-1988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-041-715 | NC | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603734 | — | NC |