MISS REBECA LEE JACKSON NPI 1104455450

NPI Information

NPI: 1104455450
Provider Name: MISS REBECA LEE JACKSON
Classification: Assisted Living Facility - 310400000X
Entity Type: Individual
Address:
7451 TYONE CT
ANCHORAGE, AK
ZIP 99504
Phone: (907) 743-2986
Get Directions

MISS Rebeca Lee Jackson is an assisted living facility in Anchorage, AK. 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. MISS Rebeca Lee Jackson NPI is 1104455450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7451 TYONE CT
ANCHORAGE, AK
ZIP 99504-531
Phone: (907) 743-2986

The enumeration date for this NPI number is 4/7/2020 and was last updated on 6/29/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		101381	ALASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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