Jackie's Enterprises INC
NPI #1578957296 in Guilderland, New York
Provider Information
- NPI Number
- 1578957296
- Entity Type
- Organization
- Organization Name
- Jackie's Enterprises INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 19, 2015
- Last Updated
- Jan 20, 2021
Practice Location
- Address
- 2080 WESTERN AVE
- City
- Guilderland
- State
- New York
- ZIP Code
- 12084-9517
- Phone
- (518) 869-1100
Authorized Official
- Name
- MISS JACKLYN LEIGH KETO
- Title
- PRESIDENT/OWNER
- Phone
- (518) 869-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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