Organization
JACKSON FURNITURE COMPANY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ANDREW JACKSON (PRESIDENT)
(850) 584-4543
Entity
Organization
Contact information
Practice address
1405 S JEFFERSON ST, PERRY, FL 32348-4746
(850) 584-4543
Mailing address
1405 S JEFFERSON ST, PERRY, FL 32348-4746
(850) 584-4543
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
08/23/2008
Last updated
08/23/2008
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