Jackson'S Personal Care
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Augusta, GA. Organization (NPI-2).
Details
- NPI
- 1992006365
- Entity type
- Organization (NPI-2)
- Legal business name
- Jackson'S Personal Care
- Organization subpart
- No
- Enumeration date
- Nov 16, 2010
- Last updated
- Nov 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 121013781 | GA | Yes |
Practice location
2377 Dublin DrAugusta, GA 30906-4020
Phone 706-798-2127 · Fax 706-496-7305
Mailing address
2377 Dublin DrAugusta, GA 30906-4020
Phone 706-798-2127 · Fax 706-496-7305
Authorized official
Velma L Jackson
Owner
7067936487
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All 17 Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Augusta · All 8,576 providers in Augusta
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