Individual provider · Type 1 NPI

Tomiah Jackson

Adult Day Care Clinic/Center · Wauwatosa, WI

NPI number 1275403388 Active

Practice location

4057 N Mayfair Rd
Wauwatosa, WI 53222-1101

Call (414) 788-1084 Map

Fax (862) 263-7319

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600X0021599 (WI)

Adult Day Care Clinic/Center: Definition to come...

About NPI 1275403388

Tomiah Jackson's National Provider Identifier is 1275403388, issued on Nov 5, 2025. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Wauwatosa, WI. The record was last updated on Nov 5, 2025.