# JACKEY CARE'S HOUSING

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

## Provider details

- **NPI number:** 1609129618
- **Authorized official:** JACQUELINE BENTON 10,21,1962 (C)
- **Authorized official phone:** (916) 641-1641

## Contact information

- **Practice address:** 2447 BOXWOOD ST, SACRAMENTO, CA 95815
- **Practice address phone:** (916) 641-1641
- **Mailing address:** P.O. BOX 348656, SACRAMENTO, CA 95834
- **Mailing address phone:** (916) 641-1641
- **Mailing address fax:** (916) 641-1641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2012
- **Last updated:** 10/16/2012