Organization
CLIMBING JACOBS LADDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ROBERT PAUL (DIRECTOR)
(336) 760-5516
Entity
Organization
Contact information
Practice address
3401 HEALY DR, SUITE-B, WINSTON SALEM, NC 27103-1450
(336) 760-5516
(336) 760-5517
Mailing address
7475 PRINCESS ANNE CT, SUITE -B, RURAL, NC 27045-9821
(336) 760-5516
(336) 760-5517
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301092
—
NC
Enumeration date
10/06/2006
Last updated
06/10/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us