# THE JACKSON GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Laughter in Your Belly Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639694763
- **Authorized official:** ROLANDA GAYLE YOUNG JD, NMP, QRA (OWNER)
- **Authorized official phone:** (225) 421-6772

## Contact information

- **Practice address:** 3608 PRESIDENT DAVIS DR, BATON ROUGE, LA 70816-2947
- **Practice address phone:** (225) 421-6772
- **Practice address fax:** (225) 308-8909
- **Mailing address:** 3608 PRESIDENT DAVIS DR, BATON ROUGE, LA 70816-2947
- **Mailing address phone:** (225) 421-6772
- **Mailing address fax:** (225) 308-8909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335G00000X | Medical Foods Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2017
- **Last updated:** 08/10/2017