NPI 1679714141

Jackson's Professional Homecare Services

Organisation Child Physical Disabilities Respite Care Montgomery, AL

Practice location

Address: 2615 E South Blvd, Montgomery, AL 36116-2509
Phone: (334) 281-0555
Fax: (334) 281-0222

Authorised official

Name: Marsha Michelle Jackson
Title: Director
Phone: (334) 281-0555

Registered specialties

Child Physical Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2065X Licence 06922 (AL)

Other Respite Care providers in Alabama →

Registry record

NPI: 1679714141
Entity type: Organization
NPI issued: 13 Mar 2009
Record last updated: 13 Mar 2009

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.