MRS. Tanesha Jackson

NPI #1215759097 in Hiram, Georgia

Provider Information

NPI Number
1215759097
Entity Type
Individual
Name
MRS. Tanesha Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Adult Day Care
Enumeration Date
Oct 31, 2024
Last Updated
Oct 31, 2024

Practice Location

Address
319 LANIER CT
City
Hiram
State
Georgia
ZIP Code
30141-2072
Phone
(470) 962-7121

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Day CareAdult Day Care

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