# JACKSON FEILD HOMES

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

## Provider details

- **NPI number:** 1578720397
- **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) 348-3417
- **Mailing address:** 546 WALNUT GROVE DR, JARRATT, VA 23867-8611
- **Mailing address phone:** (434) 634-3217
- **Mailing address fax:** (434) 348-3417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 278-05 | VA | — |
| 323P00000X | Psychiatric Residential Treatment Facility | 1376 | VA | Yes |

## Other

- **Enumeration date:** 05/20/2008
- **Last updated:** 01/17/2013