Individual provider · Type 1 NPI
Vera Lorraine Jackson
Adult Care Home Facility · Baltimore, MD
NPI number
1386319622
Active
Practice location
3905 White Ave
Baltimore, MD 21206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
Other adult care home facility providers in Baltimore
About NPI 1386319622
Vera Lorraine Jackson's National Provider Identifier is 1386319622, issued on Aug 10, 2021. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Baltimore, MD. The record was last updated on Aug 10, 2021.