Jack 1 Foundation Inc.
NPI #1396157681 in Port Arthur, Texas
Provider Information
- NPI Number
- 1396157681
- Entity Type
- Organization
- Organization Name
- Jack 1 Foundation Inc.
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- May 21, 2014
- Last Updated
- May 21, 2014
Practice Location
- Address
- 235 PROCTER ST.
- City
- Port Arthur
- State
- Texas
- ZIP Code
- 77640
- Phone
- (409) 984-5720
Authorized Official
- Name
- MS. JUDYETTE JACKSON
- Title
- FOUNDER/DIRECTOR
- Phone
- (409) 719-7003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
| Respite Care |
| Clinic/Center - Adult Day Care — Adult Day Care |
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