JACKSONVILLE CARE CENTER LLC NPI 1720512643

NPI Information

JACKSONVILLE CARE CENTER, LLC is an assisted living facility in Jacksonville, AR. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. JACKSONVILLE CARE CENTER, LLC NPI is 1720512643. The provider is registered as an organization entity type.

The provider's business location address is:

1500 GRAHAM RD
JACKSONVILLE, AR
ZIP 72076-837
Phone: (501) 982-5545
Fax: (501) 982-0016

The provider's authorized official is Jerry D Sams .
The authorized official title is Member and has the following contact phone number (479) 783-4672.

The enumeration date for this NPI number is 4/18/2017 and was last updated on 4/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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