| NPI | 1487136206 |
|---|---|
| Doing Business As | JABEZ CUSTOMIZED LIVING SERVICES |
| Entity Type | Organization |
| Authorized Contact | PANDORA LEE WHITE Director Of Operations/Owner 612-272-8009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2019-01-11 |