NPI Registry.org

Jackson Personal Care

NPI Registration Record

Provider / OrganizationNPIDate Certified
JACKSON PERSONAL CARE15286963822020-07-24

The organization Jackson Personal Care is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1528696382. Registration indicates Jackson Personal Care is a provider of services with a specialization in Agencies, In Home Supportive Care (In Home Supportive Care, ) (In Home Supportive Care, Agencies)

Entity TypeOrganization
Provider OrganizationJACKSON PERSONAL CARE
Practice Office Address117 STONEWALL DR
INDIANOLA, MS US
Practice Office Telephone6623036959
Mailing Address117 STONEWALL DR
INDIANOLA, MS 387512240 US
Business Telephone6623036959
Authorized OfficialSTACY JACKSON, OWNER
6623036959
HPT Codes
CodePractice
License No
State
253Z00000X PRIMARY
Agencies
In Home Supportive Care
In Home Supportive Care

In Home Supportive Care
Agencies
OPI Codes
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