MRS. Jacquenett Jackson
NPI #1376727388 in Shubuta, Mississippi
Provider Information
- NPI Number
- 1376727388
- Entity Type
- Individual
- Name
- MRS. Jacquenett Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Dec 27, 2007
- Last Updated
- Dec 27, 2007
Practice Location
- Address
- 114 SECOND STREET
- City
- Shubuta
- State
- Mississippi
- ZIP Code
- 39360
- Phone
- (601) 687-1128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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