Provider Demographics
NPI:1386254027
Name:J & B ASSISTED LIVING, INC. D/B/A J & B BEHAVIORAL HEALTH II
Entity type:Organization
Organization Name:J & B ASSISTED LIVING, INC. D/B/A J & B BEHAVIORAL HEALTH II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN, MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BILJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:FEELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-910-7645
Mailing Address - Street 1:6613 W. PERSHING AVENUE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85304
Mailing Address - Country:US
Mailing Address - Phone:623-910-7645
Mailing Address - Fax:623-572-9926
Practice Address - Street 1:6613 W. PERSHING AVENUE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85304
Practice Address - Country:US
Practice Address - Phone:623-910-7645
Practice Address - Fax:623-572-9926
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J & B ASSISTED LIVING, INC. D/B/A J & B
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility