Provider Demographics
NPI:1487011409
Name:THE JASMINE NYREE EDUCATION CENTER
Entity Type:Organization
Organization Name:THE JASMINE NYREE EDUCATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARQUE
Authorized Official - Middle Name:RUDOLPH
Authorized Official - Last Name:STANSBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:661-396-1800
Mailing Address - Street 1:6800 DISTRICT BLVD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-2010
Mailing Address - Country:US
Mailing Address - Phone:661-396-1800
Mailing Address - Fax:661-396-2600
Practice Address - Street 1:6800 DISTRICT BLVD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-2010
Practice Address - Country:US
Practice Address - Phone:661-396-1800
Practice Address - Fax:661-396-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA153808949385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child