Provider Demographics
NPI:1639590847
Name:ALBEMARLE HOUSING IMPROVEMENT PROGRAM,INC.
Entity Type:Organization
Organization Name:ALBEMARLE HOUSING IMPROVEMENT PROGRAM,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-817-2447
Mailing Address - Street 1:2127 BERKMAR DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-1592
Mailing Address - Country:US
Mailing Address - Phone:434-817-2447
Mailing Address - Fax:434-973-3730
Practice Address - Street 1:2127 BERKMAR DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-1592
Practice Address - Country:US
Practice Address - Phone:434-817-2447
Practice Address - Fax:434-973-3730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies