Organization
JACKEY CARE'S HOUSING
Active
Organization
JACKEY CARE'S HOUSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE BENTON 10,21,1962 (C)
(916) 641-1641
Entity
Organization
Contact information
Practice address
2447 BOXWOOD ST, SACRAMENTO, CA 95815
(916) 641-1641
Mailing address
P.O. BOX 348656, SACRAMENTO, CA 95834
(916) 641-1641
(916) 641-1641
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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