Jackson Support Services

NPI #1164199410 in Desoto, Texas

Provider Information

NPI Number
1164199410
Entity Type
Organization
Organization Name
Jackson Support Services
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Aug 25, 2021
Last Updated
Sep 30, 2021

Practice Location

Address
532 BUCKINGHAM PL
City
Desoto
State
Texas
ZIP Code
75115-6111
Phone
(619) 846-5650

Authorized Official

Name
LATASHA JACKSON
Title
OWNER
Phone
(619) 846-5650

Specialties & Taxonomy Codes

Specialty
Home Health
In Home Supportive Care
Community Based Residential Treatment Facility, Mental Illness
Custodial Care Facility - Adult Care HomeAdult Care Home

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