Vanessa Jackson
NPI #1003204678 in Far Rockaway, New York
Provider Information
- NPI Number
- 1003204678
- Entity Type
- Individual
- Name
- Vanessa Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Jan 5, 2015
- Last Updated
- Jan 5, 2015
Practice Location
- Address
- 2922 FALCON AVE
- City
- Far Rockaway
- State
- New York
- ZIP Code
- 11691-1845
- Phone
- (347) 576-9654
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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