Organization
JACKSON DELIVERY SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELANCEY JACKSON (OWNER)
(540) 273-0444
Entity
Organization
Contact information
Practice address
11227 TRISLER DR, FREDERICKSBURG, VA 22407-6475
(540) 273-0444
Mailing address
11227 TRISLER DR, FREDERICKSBURG, VA 22407-6475
(540) 273-0444
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/31/2017
Last updated
07/21/2022
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