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A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Care Home |
311ZA0620X |
| NPI # | 1376727388 |
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| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 12/27/2007 | ||||
| Last updated | 12/27/2007 - About 18 years ago | ||||
| Identifiers |
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JACQUENETT JACKSON
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JACQUENETT JACKSON