Individual
FAITH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 CHALKVILLE MANOR DR, BIRMINGHAM, AL 35215-3958
(205) 705-7500
Mailing address
127 CHALKVILLE MANOR DR, BIRMINGHAM, AL 35215-3958
(205) 705-7500
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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