MS. JUDY JACKSON
Custodial Care Facility - Adult Care Home
Active
Individual
NPI: 1548671316
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Custodial Care Facility - Adult Care Home | 311ZA0620X | Yes | 031-01-129-1 (GA) |
Frequently Asked Questions
NPI 1548671316 is the National Provider Identifier for MS. JUDY JACKSON, a Custodial Care Facility - Adult Care Home provider located in Rex, GA. This NPI was enumerated on May 15, 2014.
MS. JUDY JACKSON practices at 5941 WILERSON RD., Rex, GA 30273.
Quick Facts
- NPI
- 1548671316
- Type
- Individual
- Enumerated
- May 15, 2014
- Last Updated
- May 15, 2014
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