Shirley Mcmillan Jackson

NPI #1063838878 in Mobile, Alabama

Provider Information

NPI Number
1063838878
Entity Type
Individual
Name
Shirley Mcmillan Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Mar 17, 2014
Last Updated
Mar 17, 2014

Practice Location

Address
2117 LUCKNER CT
City
Mobile
State
Alabama
ZIP Code
36618-2618
Phone
(251) 423-8197

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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