Individual provider · Type 1 NPI
Lakeshia Michelle Jackson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Kearney, MO
Practice location
2205 Blue Bell Ter
Kearney, MO 64060-7313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1881954071
Lakeshia Michelle Jackson's National Provider Identifier is 1881954071, issued on May 21, 2012. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Kearney, MO. The record was last updated on May 21, 2012.