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JABEZ TRANSITIONAL LIVING CENTER NPI 1700189867


NPI Information

NPI: 1700189867
Provider Name: JABEZ TRANSITIONAL LIVING CENTER
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
5926 N TEUTONIA AVE
MILWAUKEE, WI
ZIP 53209
Phone: (414) 462-5532
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JABEZ TRANSITIONAL LIVING CENTER is a non emergency medical transport van in Milwaukee, WI. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. JABEZ TRANSITIONAL LIVING CENTER NPI is 1700189867. The provider is registered as an organization entity type.

The provider's business location address is:

5926 N TEUTONIA AVE
MILWAUKEE, WI
ZIP 53209-148
Phone: (414) 462-5532
Fax: (414) 462-5529

The provider's authorized official is Sherri A Bond .
The authorized official title is Executive Director and has the following contact phone number (414) 462-5532.

The enumeration date for this NPI number is 12/13/2010 and was last updated on 12/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100012658MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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