Individual provider · Type 1 NPI
Vanessa Jackson
Adult Care Home Facility · Far Rockaway, NY
NPI number
1003204678
Active
Practice location
2922 Falcon Ave
Far Rockaway, NY 11691-1845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 320584 (NY) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Far Rockaway
About NPI 1003204678
Vanessa Jackson's National Provider Identifier is 1003204678, issued on Jan 5, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Far Rockaway, NY. The record was last updated on Jan 5, 2015.