Organization · Type 2 NPI
Jackson's Group Home
Intellectual and/or Developmental Disabilities Residential Treatment Facility · New Madrid, MO
Practice location
7570 US Highway 61
New Madrid, MO 63869-9183
Fax (537) 688-5174
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
4 other providers at this address
- Abundant Love In-Home Service LLCIn Home Supportive Care Agency New Madrid, MO NPI 1518433051
- Krewzin Transportation ServicesNon-emergency Medical Transport (VAN) New Madrid, MO NPI 1154127330
- Personal TouchIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility New Madrid, MO NPI 1366624603
- Christine GrissomDriver New Madrid, MO NPI 1437955614
About NPI 1467575357
Jackson's Group Home's National Provider Identifier is 1467575357, issued on Apr 7, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in New Madrid, MO. The record was last updated on Aug 22, 2020.