New Jackson Manor, Llc in Annville - Adult Day Care
New Jackson Manor, Llc - NPI 1407845639
New Jackson Manor, Llc is a Adult Day Care in Annville, Kentucky. New Jackson Manor, Llc practices all healthcare services and medical treatments related to Adult Day Care. The NPI Number for New Jackson Manor, Llc is 1407845639. The last update date is 2012-10-23.
New Jackson Manor, Llc's current location address is 68 Hwy 3444, Annville, Kentucky. You can contact this provider via phone number 6063645197 and fax number 6063642293. The mailing address for New Jackson Manor, Llc is 68 Hwy 3444, Annville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | New Jackson Manor, Llc |
|---|---|
| Address | 68 Hwy 3444, Annville, Kentucky |
| Phone Number | 6063645197 |
| Fax Number | 6063642293 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Barber L. Robin |
| Credentials | J.D. |
| Telephone Number | 5027536004 |
NPI Number Detail
| NPI Number | 1407845639 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2012-10-23 |
Provider Mailing Address Detail
| Address | 68 Hwy 3444 |
|---|---|
| City | Annville |
| State | Kentucky (KY) |
| Post Code | 40402 |
| Phone Number | 6063645197 |
| Fax Number | 6063642293 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Day Care |
|---|---|
| Taxonomy | 261Qa0600X |
|
Definition: Provides health, therapeutic and social services to impaired older adults and disabled individuals during daytime hours. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100174140 | KY | -- |
Post Comment/ Review Below
What is the New Jackson Manor, Llc's 1407845639?
The New Jackson Manor, Llc's NPI (National Provider Identifier) Number is 1407845639. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of New Jackson Manor, Llc?
The New Jackson Manor, Llc is physically situated at 68 Hwy 3444, in the city of Annville, state of KY, with the postal code 40402.
What is New Jackson Manor, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for New Jackson Manor, Llc is Adult Day Care, and the taxonomy classification code that categorizes this area of expertise is 261Qa0600X.
On what date did New Jackson Manor, Llc receive its 1407845639 assignment from the Centers for Medicare & Medicaid Services?
The New Jackson Manor, Llc was assigned its 1407845639 on 2005-10-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to New Jackson Manor, Llc most recently updated or revised?
The details related to New Jackson Manor, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2012-10-23.
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