Organization
CONCERNED CITIZENS OF JACK CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUSSONNA KAYE JONES-BRISCOE (DIRECTOR)
(940) 567-2607
Entity
Organization
Contact information
Practice address
400 E PINE ST, JACKSBORO, TX 76458-2413
(940) 567-2607
(940) 567-2274
Mailing address
400 E PINE ST, JACKSBORO, TX 76458-2413
(940) 567-2607
(940) 567-2274
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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