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Organization

JACKSON'S PROFESSIONAL HOMECARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARSHA MICHELLE JACKSON (DIRECTOR)
(334) 281-0555
Entity
Organization

Contact information

Practice address
2615 E SOUTH BLVD, MONTGOMERY, AL 36116-2509
(334) 281-0555
(334) 281-0222
Mailing address
2615 E SOUTH BLVD, MONTGOMERY, AL 36116-2509
(334) 281-0555
(334) 281-0222

Taxonomy

Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
06922
AL

Other

Enumeration date
03/13/2009
Last updated
03/13/2009
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