# JACKSON FEILD HOMES

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

## Provider details

- **NPI number:** 1265699870
- **Authorized official:** MR. ROBERT E CRANE (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (434) 634-3217

## Contact information

- **Practice address:** 546 WALNUT GROVE DR, JARRATT, VA 23867-8611
- **Practice address phone:** (434) 634-3217
- **Practice address fax:** (434) 348-3471
- **Mailing address:** 546 WALNUT GROVE DR, JARRATT, VA 23867-8611
- **Mailing address phone:** (434) 634-3217
- **Mailing address fax:** (434) 348-3471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 278-05 | VA | — |
| 1041C0700X | Clinical Social Worker | 278-05 | VA | Yes |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | 1376-05-001 | VA | — |
| 363AM0700X | Medical Physician Assistant | — | VA | — |

## Other

- **Enumeration date:** 05/21/2008
- **Last updated:** 06/16/2011