Gloria Jackson
NPI #1013352079 in Lindenhurst, New York
Provider Information
- NPI Number
- 1013352079
- Entity Type
- Organization
- Organization Name
- Gloria Jackson
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 5, 2013
- Last Updated
- May 5, 2013
Practice Location
- Address
- 525 S 9TH ST
- City
- Lindenhurst
- State
- New York
- ZIP Code
- 11757-4529
- Phone
- (631) 226-3901
Authorized Official
- Name
- GLORIA JACKSON
- Title
- LPN
- Phone
- (631) 226-3901
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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