Provider Demographics
NPI:1023396207
Name:JUBILEE MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:JUBILEE MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-375-0019
Mailing Address - Street 1:28851 N MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-7273
Mailing Address - Country:US
Mailing Address - Phone:251-375-0019
Mailing Address - Fax:
Practice Address - Street 1:28851 N MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-7273
Practice Address - Country:US
Practice Address - Phone:251-375-0019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-22
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies