Organization
JABEZ RESIDENTIAL INC
Active
Organization
JABEZ RESIDENTIAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMIEN K FORSYTHE (OWNER)
(919) 284-3723
Entity
Organization
Contact information
Practice address
212 TILGHMAN STREET, KENLY, NC 27542-1214
(919) 284-3723
Mailing address
PO BOX 1214, KENLY, NC 27542-1214
(919) 284-3723
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL051174
NC
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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