Jackson Family Care Home II
NPI #1588808240 in Wendell, North Carolina
Provider Information
- NPI Number
- 1588808240
- Entity Type
- Organization
- Organization Name
- Jackson Family Care Home II
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Apr 26, 2009
- Last Updated
- Apr 26, 2009
Practice Location
- Address
- 7112 OUTRIGGER DR
- City
- Wendell
- State
- North Carolina
- ZIP Code
- 27591-7240
- Phone
- (919) 366-1513
Authorized Official
- Name
- MRS. MARY MCCULLERS JACKSON
- Title
- OWNER/ADMINISTRATOR
- Phone
- (919) 266-5291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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