Individual provider · Type 1 NPI
Donnita Kaye Jackson
Physical Disabilities Residential Treatment Facility · Austin, TX
NPI number
1689924433
Active
Practice location
1210 South Trace
Austin, TX 78745
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | None listed |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
About NPI 1689924433
Donnita Kaye Jackson's National Provider Identifier is 1689924433, issued on Sep 19, 2012. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Austin, TX. The record was last updated on Sep 12, 2013.