Provider Demographics
NPI:1639880347
Name:JESUS PROVIDES OUR DAILY BREAD
Entity Type:Organization
Organization Name:JESUS PROVIDES OUR DAILY BREAD
Other - Org Name:JESUS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:R
Authorized Official - Last Name:ABNEY-BASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-345-2640
Mailing Address - Street 1:2255 FAIR ST
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-6747
Mailing Address - Country:US
Mailing Address - Phone:530-345-2640
Mailing Address - Fax:530-345-2449
Practice Address - Street 1:2255 FAIR STREET
Practice Address - Street 2:JESUS CENTER
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-9592
Practice Address - Country:US
Practice Address - Phone:530-345-2640
Practice Address - Fax:530-345-2449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Single Specialty
No251X00000XAgenciesSupports Brokerage