Organization
JACKSON'S GROUP HOME
Active
Other names
Personal Touch
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EARNESTINE JACKSON (ADMINISTRATOR)
(573) 688-2228
Entity
Organization
Contact information
Practice address
7570 US HIGHWAY 61, NEW MADRID, MO 63869-9183
(573) 688-2228
(537) 688-5174
Mailing address
7570 US HIGHWAY 61, NEW MADRID, MO 63869-9183
(537) 688-5174
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/07/2007
Last updated
08/22/2020
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