Individual provider · Type 1 NPI
Adeola Jackson
Adult Care Home Facility · Lexington, KY
NPI number
1467369082
Active
Practice location
2459 Dittany Ln
Lexington, KY 40511-9281
Mailing address
2459 Dittany Ln Apt A22
Lexington, KY 40511-9281
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.
Other adult care home facility providers in Lexington
About NPI 1467369082
Adeola Jackson's National Provider Identifier is 1467369082, issued on Aug 27, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Lexington, KY. The record was last updated on Aug 27, 2026.