MR. MARCUS JACKSON SR.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Active
Individual
NPI: 1336767128
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | Yes | - |
Frequently Asked Questions
NPI 1336767128 is the National Provider Identifier for MR. MARCUS JACKSON SR., a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Pensacola, FL. This NPI was enumerated on July 8, 2020.
MR. MARCUS JACKSON SR. practices at 5615 SHELL RD, Pensacola, FL 32503.
Quick Facts
- NPI
- 1336767128
- Type
- Individual
- Enumerated
- Jul 8, 2020
- Last Updated
- Jul 8, 2020
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