Jackson Manor 1691 Tenant, LLC
NPI #1861491466 in Jonesboro, Louisiana
Provider Information
- NPI Number
- 1861491466
- Entity Type
- Organization
- Organization Name
- Jackson Manor 1691 Tenant, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 18, 2005
- Last Updated
- Feb 12, 2008
Practice Location
Authorized Official
- Name
- MR. ALEX PALEY
- Title
- COO
- Phone
- (914) 390-4363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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