Ladonna Jackson in Tucson - Community Based Residential Treatment Facility, Mental Illness
Ladonna Jackson - NPI 1518032945
Ladonna Jackson is a Community Based Residential Treatment Facility, Mental Illness in Tucson, Arizona. Ladonna Jackson practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Ladonna Jackson is 1518032945. The last update date is 2020-07-27.
Ladonna Jackson's current location address is 1866 N Marble Ridge Pl, Tucson, Arizona. You can contact this provider via phone number 5207229296. The mailing address for Ladonna Jackson is 1866 N Marble Ridge Pl, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ladonna Jackson |
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Address | 1866 N Marble Ridge Pl, Tucson, Arizona |
Phone Number | 5207229296 |
Fax Number | |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1518032945 |
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Provider Enumeration Date | 2006-11-21 |
Last Updated Date | 2020-07-27 |
Provider Mailing Address Detail
Address | 1866 N Marble Ridge Pl |
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City | Tucson |
State | Arizona (AZ) |
Post Code | 857154574 |
Phone Number | 5207229296 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Mental Illness |
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Taxonomy | 320800000X |
Licence No | BH-2808 |
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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BH4932 | AZ | AZ DEPT OF HEALTH SERVICES | |
764721 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ladonna Jackson by the Centers for Medicare & Medicaid Services?
The Ladonna Jackson has been issued the NPI (National Provider Identifier) 1518032945, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Ladonna Jackson?
The Ladonna Jackson is physically situated at 1866 N Marble Ridge Pl, in the city of Tucson, state of AZ, with the postal code 857154574.
What is Ladonna Jackson's area of expertise and its corresponding taxonomy classification?
The Ladonna Jackson's field of specialization is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1518032945 to Ladonna Jackson?
The Centers for Medicare & Medicaid Services assigned the 1518032945 to Ladonna Jackson on 2006-11-21.
When was the information related to Ladonna Jackson most recently updated or refreshed?
The details pertaining to the Ladonna Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-07-27.