Organization
JABEZ CUSTOMIZED LIVING SERVICES
Active
Parent organization
URBAN HOPE MINISTRIES INC
Other names
Jabez Customized Living Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
URBAN HOPE MINISTRIES INC
Authorized official
PANDORA LEE WHITE CNP (DIRECTOR OF OPERATIONS/OWNER)
(612) 272-8009
Entity
Organization
Contact information
Practice address
1417 BROOKDALE DR, BROOKLYN PARK, MN 55444-2129
(612) 272-8009
(612) 601-8962
Mailing address
1417 BROOKDALE DR, MINNEAPOLIS, MN 55444-2129
(612) 272-8009
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
01/11/2019
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