Organization · Type 2 NPI
The Jackson Group, LLC
Medical Foods Supplier · Baton Rouge, LA
NPI number
1639694763
Active
Practice location
3608 President Davis Dr
Baton Rouge, LA 70816-2947
Fax (225) 308-8909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Foods Supplier Primary | 335G00000X | None listed |
Medical Foods Supplier: A supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies.
About NPI 1639694763
The Jackson Group, LLC's National Provider Identifier is 1639694763, issued on Aug 10, 2017. The primary taxonomy on file is Medical Foods Supplier (335G00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Aug 10, 2017.