Jabez Management

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-079-099 Issued in NC

Legal business name

JABEZ MANAGEMENT

Practice address

122 N Main St
Reidsville, NC 27320-2902

Phone

(336) 349-7676

NPI assigned

Mar 9, 2009

Last updated

Mar 9, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sharon Rene'E Sellars-Wilson

Title

Owner/President

Phone

(336) 349-7676

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1639310410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1404",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273231404",
            "telephone_number": "336-349-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N MAIN ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273202902",
            "telephone_number": "336-349-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABEZ MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "SELLARS-WILSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "RENE'E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "336-349-7676",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-079-099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.