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 |