# JACKSON PREFERRED CARE LLC

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

## Provider details

- **NPI number:** 1174418198
- **Authorized official:** CASHAE T MORTON (HOME AND COMMUNITY BASED PROVIDER)
- **Authorized official phone:** (786) 227-6543

## Contact information

- **Practice address:** 10711 SW 216TH ST \# 201, MIAMI, FL 33170-3139
- **Practice address phone:** (786) 227-6543
- **Practice address fax:** (305) 939-0826
- **Mailing address:** 17516 DUVAL AVE, MIAMI, FL 33157-5322
- **Mailing address phone:** (786) 531-1923
- **Mailing address fax:** (786) 531-1923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/10/2025
- **Last updated:** 06/10/2025