| Organization Name: | JABOURS PERSONAL HEALTH CARE |
| NPI Number: | 1235306754 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLARICE ALTHEA JABOUR (OWNER) |
| Mailing Address: | 1005 W Airline Hwy La Place |
| State: | LA US |
| Postal Code: | 700683714 |
| Phone Number: | 9856510817 |
| Fax Number: | 9856510212 |
| NPI Enumeration Date: | 05/14/2008 |
| NPI Last Update Date: | 05/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | PCA11435 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |