NPI 1629405121

Ec Jackson Operations, LLC

Organisation Assisted Living Facility Jackson, TN

Practice location

Address: 911 Old Humboldt Rd, Jackson, TN 38305-5668
Phone: (731) 664-7787
Fax: (731) 664-7704
Mailing address: 9510 Ormsby Station Rd Suite 101, Louisville, KY 40223-4081

Authorised official

Name: Robin L Barber
Title: Vice President
Phone: (502) 753-6004

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1629405121
Entity type: Organization
NPI issued: 30 Sep 2013
Record last updated: 30 Sep 2013

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.