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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.

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Contact Information

JACKSON HOME HEALTH
111 PECAN LAKE ESTATE RD
MONROE, LA  71203-9383
 Phone: 318-789-4272
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Residential Treatment Facility, Physical Disabilities

 320700000X
Indicates primary specialty

NPI Profile & details for JACKSON HOME HEALTH

NPI # 1578948055
LBN Legal business name JACKSON HOME HEALTH
Authorized official SHONTIA GRAY - (OWNER/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2015
Last updated 09/12/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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