Provider Demographics
NPI:1689799777
Name:MABF,INC
Entity Type:Organization
Organization Name:MABF,INC
Other - Org Name:SILVERCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:V
Authorized Official - Last Name:JOYNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-355-5677
Mailing Address - Street 1:PO BOX 3262
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27836-1262
Mailing Address - Country:US
Mailing Address - Phone:252-355-5677
Mailing Address - Fax:252-353-0687
Practice Address - Street 1:2865 CHARLES BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5934
Practice Address - Country:US
Practice Address - Phone:252-355-5677
Practice Address - Fax:252-353-0687
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MABF, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600928Medicaid
NC3409534Medicaid