Organization
PHARAOH'S REST HAVEN, L.L.C
Active
Other names
Pharaoh's Rest Haven, L.L.C
Organization subpart
No
Provider details
NPI number
Authorized official
JZSA-JAZA ANDRE GIBSON REGISTERED NURSE (ADMINISTRATOR)
(517) 879-7434
Entity
Organization
Contact information
Practice address
1044 S MARTIN LUTHER KING JR DR, JACKSON, MI 49203-3273
(517) 879-7434
(517) 539-5943
Mailing address
1044 S MARTIN LUTHER KING JR DR, JACKSON, MI 49203-3273
(517) 879-7434
(517) 539-5943
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922548114
—
MI
Enumeration date
11/17/2021
Last updated
11/17/2021
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