Provider Demographics
NPI:1962647552
Name:JABEZ RECOVERY MANAGEMENT SERVICES, INC
Entity Type:Organization
Organization Name:JABEZ RECOVERY MANAGEMENT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANIAPAM
Authorized Official - Suffix:
Authorized Official - Credentials:BSC, CADC
Authorized Official - Phone:313-399-2563
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48099-0039
Mailing Address - Country:US
Mailing Address - Phone:313-399-2563
Mailing Address - Fax:313-826-7510
Practice Address - Street 1:2633 CALVERT ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48206-1403
Practice Address - Country:US
Practice Address - Phone:313-826-7411
Practice Address - Fax:313-894-7460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home