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Organization

JACKSON SENIOR SERVICES, LLC

Active
Other names
Regency Retirement Village
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATTHEW A ERNST (EXECUTIVE DIRECTOR)
(731) 661-9888
Entity
Organization

Contact information

Practice address
420 CHEYENNE DR, JACKSON, TN 38305-5412
(731) 661-9888
(731) 661-9056
Mailing address
420 CHEYENNE DR, JACKSON, TN 38305-5412
(731) 661-9888
(731) 661-9056

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ACL0000000124
TN
311500000X
Alzheimer Center (Dementia Center)
ACL0000000124
TN
385H00000X
Respite Care
ACL0000000124
TN

Other

Enumeration date
11/10/2010
Last updated
11/10/2010
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