Individual
FREDDIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3819 HAPPY CANYON DR, DALLAS, TX 75241-5230
(978) 962-9754
Mailing address
3655 SIMPSON STUART RD UNIT 41324, DALLAS, TX 75241-4346
(978) 962-9754
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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