NPI 1467051631

Jackson Home for Veterans

Organisation Lodging Provider Charlotte, NC

Practice location

Address: 2633 Juniper Dr, Charlotte, NC 28269-4004
Phone: (704) 315-7089

Authorised official

Name: Levar Lafayette Jackson
Title: Owner
Phone: (704) 315-7089

Registered specialties (3)

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X

Other Lodging providers in North Carolina →

Migrant Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1000X

Other Clinic/Center providers in North Carolina →

Health Maintenance Organization

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in North Carolina →

Registry record

NPI: 1467051631
Entity type: Organization
NPI issued: 20 Oct 2020
Record last updated: 23 Oct 2020

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.