SHIRLEY MCMILLAN JACKSON
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Active
Individual
NPI: 1063838878
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | Yes | - |
Frequently Asked Questions
NPI 1063838878 is the National Provider Identifier for SHIRLEY MCMILLAN JACKSON, a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Mobile, AL. This NPI was enumerated on March 17, 2014.
SHIRLEY MCMILLAN JACKSON practices at 2117 LUCKNER CT, Mobile, AL 36618.
Quick Facts
- NPI
- 1063838878
- Type
- Individual
- Enumerated
- Mar 17, 2014
- Last Updated
- Mar 17, 2014
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