Organization
JACK 1 FOUNDATION INC.
Active
Other names
Golden Triangle Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDYETTE JACKSON (FOUNDER/DIRECTOR)
(409) 719-7003
Entity
Organization
Contact information
Practice address
235 PROCTER ST., PORT ARTHUR, TX 77640
(409) 984-5720
(409) 984-5720
Mailing address
235 PROCTER ST., PORT ARTHUR, TX 77640
(409) 984-5720
(409) 984-5720
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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