Organization · Type 2 NPI

Jackson's Personal Care

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Augusta, GA

NPI number 1992006365 Active

Practice location

2377 Dublin Dr
Augusta, GA 30906-4020

Call (706) 798-2127 Map

Fax (706) 496-7305

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X121013781 (GA)

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.

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About NPI 1992006365

Jackson's Personal Care's National Provider Identifier is 1992006365, issued on Nov 16, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Augusta, GA. The record was last updated on Nov 16, 2010.