# JACKSON FURNITURE COMPANY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063669810
- **Authorized official:** MR. THOMAS ANDREW JACKSON (PRESIDENT)
- **Authorized official phone:** (850) 584-4543

## Contact information

- **Practice address:** 1405 S JEFFERSON ST, PERRY, FL 32348-4746
- **Practice address phone:** (850) 584-4543
- **Mailing address:** 1405 S JEFFERSON ST, PERRY, FL 32348-4746
- **Mailing address phone:** (850) 584-4543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | FL | Yes |

## Other

- **Enumeration date:** 08/23/2008
- **Last updated:** 08/23/2008