Organization
JACKSON HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JE-JE W JACKSON (OWNER/MANAGER)
(904) 428-3182
Entity
Organization
Contact information
Practice address
5604 ASHLEIGH PARK DR, JACKSONVILLE, FL 32244-7821
(904) 428-3182
(904) 778-9707
Mailing address
5604 ASHLEIGH PARK DR, JACKSONVILLE, FL 32244-7821
(904) 428-3182
(904) 778-9707
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013844800
SOLE NPI
FL
Enumeration date
01/10/2019
Last updated
01/10/2019
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