Organization
JIMERSON SAFE HAVEN
Active
Organization
JIMERSON SAFE HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANITA ARLENE TUCKER (EXCUTIVE)
(704) 434-0085
Entity
Organization
Contact information
Practice address
135 SWEETBRIAR CIRCLE, MOOREBORO, NC 28114
(704) 434-0085
(704) 434-0085
Mailing address
135 SWEETBRIAR CIRCLE, POBOX 204, MOORESBORO, NC 28114
(704) 434-0085
(704) 434-0085
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
05/02/2014
Last updated
05/16/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up