Provider Demographics
NPI:1356180517
Name:JACOB'S BUSINESS VENTURES
Entity type:Organization
Organization Name:JACOB'S BUSINESS VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNISHIA
Authorized Official - Middle Name:LARAE
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-512-2826
Mailing Address - Street 1:925 S KERR AVE STE D
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-4354
Mailing Address - Country:US
Mailing Address - Phone:910-512-2826
Mailing Address - Fax:
Practice Address - Street 1:925 S KERR AVE STE D
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-4354
Practice Address - Country:US
Practice Address - Phone:910-512-2826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care