National Provider Identifier Database

JACKSON HOME HEALTH
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.


Contact Information

JACKSON HOME HEALTH
111 PECAN LAKE ESTATE RD
MONROE, LA71203-9383
Phone: 318-789-4272
Fax:
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for JACKSON HOME HEALTH

NPI Number 1578948055
Legal business name
LBN
JACKSON HOME HEALTH
Authorized official SHONTIA GRAY - (OWNER/MANAGER)
Entity Organization
Organization subpart No
Enumeration date 07/24/2015
Last updated 09/12/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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