Jackson Family Care in Zebulon - Community Based Residential Treatment Facility, Mental Illness
Jackson Family Care - NPI 1689720476
Jackson Family Care is a Community Based Residential Treatment Facility, Mental Illness in Zebulon, North Carolina. Jackson Family Care practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Jackson Family Care is 1689720476. The last update date is 2020-08-22.
Jackson Family Care's current location address is 221 E Barbee St, Zebulon, North Carolina. You can contact this provider via phone number 9194040628 and fax number 9192667901. The mailing address for Jackson Family Care is 221 E Barbee St, Zebulon, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Family Care |
|---|---|
| Address | 221 E Barbee St, Zebulon, North Carolina |
| Phone Number | 9194040628 |
| Fax Number | 9192667901 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER ADMI |
|---|---|
| Authorized Official Name | Mccullersjackson Mary |
| Telephone Number | 9192665291 |
NPI Number Detail
| NPI Number | 1689720476 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 221 E Barbee St |
|---|---|
| City | Zebulon |
| State | North Carolina (NC) |
| Post Code | 275972811 |
| Phone Number | 9194040628 |
| Fax Number | 9192667901 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | FCL 092-120 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jackson Family Care by the Centers for Medicare & Medicaid Services?
The Jackson Family Care has been issued the NPI (National Provider Identifier) 1689720476, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jackson Family Care?
The Jackson Family Care is situated at 221 E Barbee St, in the city of Zebulon, state of NC, with the zip code 275972811.
What is the Jackson Family Care's area of specialization and corresponding taxonomy classification?
The Jackson Family Care's specialty field is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their specialties.
On what date did the Jackson Family Care receive its 1689720476 assignment from the Centers for Medicare & Medicaid Services?
The Jackson Family Care was assigned its 1689720476 by the Centers for Medicare & Medicaid Services on 2007-01-26.
When was the information pertaining to Jackson Family Care most recently updated or revised?
The details related to Jackson Family Care, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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