Organization
JUBILEE CARE LLC
Active
Other names
Jubilee Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS KASS-YIRENKYI RN (DIRECTOR)
(551) 275-6632
Entity
Organization
Contact information
Practice address
1442 BROAD ST STE 208, BLOOMFIELD, NJ 07003-3046
(646) 685-9604
Mailing address
1442 BROAD ST STE 208, BLOOMFIELD, NJ 07003-3046
(646) 685-9604
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
302R00000X
Health Maintenance Organization
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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