Provider Demographics
NPI:1699081752
Name:JCH INC
Entity type:Organization
Organization Name:JCH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:E
Authorized Official - Last Name:LIEBERWIRTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-885-3082
Mailing Address - Street 1:800 W PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-5218
Mailing Address - Country:US
Mailing Address - Phone:575-885-3082
Mailing Address - Fax:575-885-5331
Practice Address - Street 1:800 W PIERCE ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-5218
Practice Address - Country:US
Practice Address - Phone:575-885-3082
Practice Address - Fax:575-885-5331
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOLDEN SERVICES COUNSELING ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy