Organization · Type 2 NPI

Jacksonville I Enterprises LLC

Assisted Living Facility · Jacksonville, TX

NPI number 1053690818 Active

Practice location

131 Zimmerman Dr.
Jacksonville, TX 75766-0131

Fax (845) 770-3308

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1053690818

Jacksonville I Enterprises LLC's National Provider Identifier is 1053690818, issued on Aug 11, 2011. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Jacksonville, TX. The record was last updated on Aug 11, 2011.