NPI 1578948055

Jackson Home Health

Organisation Physical Disabilities Residential Treatment Facility Monroe, LA

Practice location

Address: 111 Pecan Lake Estate Rd, Monroe, LA 71203-9383
Phone: (318) 789-4272

Authorised official

Name: Shontia Latoyia Gray
Title: Owner/Manager
Phone: (318) 789-4272

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Louisiana →

Registry record

NPI: 1578948055
Entity type: Organization
NPI issued: 24 Jul 2015
Record last updated: 12 Sep 2015

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.