Provider Demographics
NPI: | 1134351612 |
---|---|
Name: | JABEC INC. |
Entity type: | Organization |
Organization Name: | JABEC INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT/ OWNER |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | STEPHEN |
Authorized Official - Middle Name: | W |
Authorized Official - Last Name: | RICKARD |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 508-643-4446 |
Mailing Address - Street 1: | 55 PLAIN ST |
Mailing Address - Street 2: | SUITE 4 |
Mailing Address - City: | NORTH ATTLEBORO |
Mailing Address - State: | MA |
Mailing Address - Zip Code: | 02760-4107 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 508-643-4446 |
Mailing Address - Fax: | 508-643-9899 |
Practice Address - Street 1: | 55 PLAIN ST |
Practice Address - Street 2: | SUITE 4 |
Practice Address - City: | NORTH ATTLEBORO |
Practice Address - State: | MA |
Practice Address - Zip Code: | 02760-4107 |
Practice Address - Country: | US |
Practice Address - Phone: | 508-643-4446 |
Practice Address - Fax: | 508-643-9899 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-08-17 |
Last Update Date: | 2009-08-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MA | TWKU | 251J00000X, 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health | |
No | 251J00000X | Agencies | Nursing Care |