Organization · Type 2 NPI

Morningside of Jackson, LLC

Assisted Living Facility · Jackson, TN

NPI number 1114966439 Active

Practice location

1200 N Parkway
Jackson, TN 38305-5011

Call (731) 423-1004 Map

Fax (731) 423-8342

Mailing address

400 Centre St
Newton, MA 02458-2094

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	ACL0000000002 (TN)

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.

2 other providers at this address

Other assisted living facility providers in Jackson

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NPI record

NPI: 1114966439
Entity type: Organization (Type 2)
Issued: Jun 5, 2006
Last updated: Jun 27, 2016
Status: Active
Subpart: Yes of Morningside of Jackson, LLC

Other names

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Morningside of Jackson · doing business as

Authorized official

Bruce J Mackey
President & Chief Executive Officer
(617) 796-8214

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114966439

Morningside of Jackson, LLC's National Provider Identifier is 1114966439, issued on Jun 5, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Jackson, TN. The record was last updated on Jun 27, 2016.