# JACKSON OPCO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Regency at Jackson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619419272
- **Authorized official:** MOHAMMAD A QAZI (MANAGER)
- **Authorized official phone:** (248) 386-0300

## Contact information

- **Practice address:** 434 W NORTH ST, JACKSON, MI 49202-3313
- **Practice address phone:** (517) 787-3250
- **Mailing address:** 4000 TOWN CTR STE 2000, SOUTHFIELD, MI 48075-1415
- **Mailing address phone:** (248) 386-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2016
- **Last updated:** 02/03/2025