NPI 1013422567
Jackson Independent Living, LLC.
Practice location
- Address
- 8643 N Teal CT, Milwaukee, WI 53223-2726
- Phone
- (414) 334-5791
- Fax
- (414) 334-5791
Authorised official
- Name
- Jihad Jackson
- Title
- Ceo
- Phone
- (414) 334-5791
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1013422567
- Entity type
- Organization
- NPI issued
- 6 Dec 2017
- Record last updated
- 19 Jun 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.