Organization
JACKSON'S PROFESSIONAL HOMECARE SERVICES
Active
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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