Organization
NURSE JACKSON NON MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA J JACKSON (LPN)
(334) 845-0116
Entity
Organization
Contact information
Practice address
110 E BROAD ST, EUFAULA, AL 36027-2024
(334) 845-0116
Mailing address
111 WALDING DR, EUFAULA, AL 36027-3434
(334) 845-0116
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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