Individual provider · Type 1 NPI

Stephanie Denise Jackson

Foster Care Agency · Buckeye, AZ

NPI number 1003459934 Active

Practice location

22321 W Morning Glory St
Buckeye, AZ 85326-7181

Fax (602) 455-4624

Specialties and licenses

TaxonomyCodeLicense
Foster Care Agency Primary 253J00000X9911474 (AZ)
Child Mental Illness Respite Care 385HR2055X3311474 (AZ)

Foster Care Agency: A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

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About NPI 1003459934

Stephanie Denise Jackson's National Provider Identifier is 1003459934, issued on Oct 23, 2019. The primary taxonomy on file is Foster Care Agency (253J00000X), and the practice location is in Buckeye, AZ. The record was last updated on Mar 10, 2020.