Organization · Type 2 NPI

Shanell's Residential Care Home, Inc.

Assisted Living Facility · Jackson, MS

NPI number 1528359189 Active

Practice location

4022 California Ave
Jackson, MS 39213-5513

Call (601) 362-4549 Map

Mailing address

PO Box 83040
Jackson, MS 39283-3040

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X1035 (MS)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1528359189

Shanell's Residential Care Home, Inc.'s National Provider Identifier is 1528359189, issued on Apr 29, 2011. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Jackson, MS. The record was last updated on Apr 29, 2011.