Organization
JACKSON INDEPENDENT LIVING, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIHAD JACKSON (CEO)
(262) 613-2960
Entity
Organization
Contact information
Practice address
2200 N COMMERCE ST, MILWAUKEE, WI 53212-3497
(262) 613-2960
Mailing address
N67W13215 DAYLILY DR, MENOMONEE FALLS, WI 53051-0504
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823587205
—
WI
Enumeration date
12/06/2017
Last updated
06/16/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us