Individual provider · Type 1 NPI

Julliet Jackson

Adult Care Home Facility · Port Charlotte, FL

NPI number 1922438464 Active

Practice location

17345 Edgewater Dr
Port Charlotte, FL 33948-2343

Call (941) 766-0175 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X6905617 (FL)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1922438464

Julliet Jackson's National Provider Identifier is 1922438464, issued on Nov 20, 2013. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Port Charlotte, FL. The record was last updated on Nov 20, 2013.