Individual provider · Type 1 NPI
Tanesha Jackson
Adult Day Care Clinic/Center · Hiram, GA
NPI number
1215759097
Active
Practice location
319 Lanier Ct
Hiram, GA 30141-2072
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
Adult Day Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1215759097
Tanesha Jackson's National Provider Identifier is 1215759097, issued on Oct 31, 2024. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Hiram, GA. The record was last updated on Oct 31, 2024.