Organization
JACKSON RESIDENTIAL, LLC
Active
Organization
JACKSON RESIDENTIAL, LLC
Active
Other names
Alexandria Place, Alexandria Place Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE TIMOTHY SCHADE (MANAGER)
(573) 471-1113
Entity
Organization
Contact information
Practice address
108 PHYSICIANS DR, JACKSON, TN 38305-6012
(731) 664-6099
Mailing address
108 PHYSICIANS DR, JACKSON, TN 38305-6012
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/28/2006
Last updated
03/10/2026
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