JACKSON RESIDENTIAL, LLC
Assisted Living Facility
Jackson, Tennessee
Provider NPI: 1821045576
Organization Information:Organization Name: JACKSON RESIDENTIAL, LLC
Practice Location:
108 PHYSICIANS DR JACKSON, TN 38305 US
Tel: 731-664-6099 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
108 PHYSICIANS DR JACKSON, TN 38305 US
Tel: 731-664-6099 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility |