Organization · Type 2 NPI

Jabez Customized Living Services

Home Health Agency · Brooklyn Park, MN

NPI number 1487136206 Active

Practice location

1417 Brookdale Dr
Brooklyn Park, MN 55444-2129

Fax (612) 601-8962

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1487136206
Entity type: Organization (Type 2)
Issued: Aug 29, 2018
Last updated: Jan 11, 2019
Status: Active
Subpart: Yes of Urban Hope Ministries Inc

Other names

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Jabez Customized Living Services · doing business as
Jabez Customized Living Services · doing business as

Authorized official

Pandora Lee White, CNP
Director of Operations/owner
(612) 272-8009

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About NPI 1487136206

Jabez Customized Living Services's National Provider Identifier is 1487136206, issued on Aug 29, 2018. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Brooklyn Park, MN. The record was last updated on Jan 11, 2019.