D MICHELE JACKSON
Adult Care Home
Hoover, Alabama
Provider NPI: 1295117125
Organization Information:Organization Name: D MICHELE JACKSON
Practice Location:
2620 RIVER HAVEN LN HOOVER, AL 35244 US
Tel: 302-391-4645 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
2620 RIVER HAVEN LN HOOVER, AL 35244 US
Tel: 302-391-4645 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | AL | 1150840 |