Provider Demographics
NPI:1811194210
Name:JABA ENTERPRISES, INC
Entity Type:Organization
Organization Name:JABA ENTERPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRILL
Authorized Official - Middle Name:F
Authorized Official - Last Name:FOULCARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-276-6350
Mailing Address - Street 1:637 HEBERT ST
Mailing Address - Street 2:
Mailing Address - City:JEANERETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70544-5128
Mailing Address - Country:US
Mailing Address - Phone:337-276-6350
Mailing Address - Fax:337-276-6350
Practice Address - Street 1:632 MONNOT RD
Practice Address - Street 2:
Practice Address - City:JEANERETTE
Practice Address - State:LA
Practice Address - Zip Code:70544-5129
Practice Address - Country:US
Practice Address - Phone:337-276-5248
Practice Address - Fax:337-276-3457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6924251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health