Individual provider · Type 1 NPI
Demarcus Jackson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Memphis, TN
Practice location
938 Breedlove St
Memphis, TN 38107-4272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Memphis
About NPI 1912888405
Demarcus Jackson's National Provider Identifier is 1912888405, issued on Sep 10, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Memphis, TN. The record was last updated on Sep 10, 2025.