JACKSON CENTER FOR INDEPENDENT LIVING NPI 1861842296

NPI Information

JACKSON CENTER FOR INDEPENDENT LIVING is a voluntary or charitable in Jackson, TN. JACKSON CENTER FOR INDEPENDENT LIVING NPI is 1861842296. The provider is registered as an organization entity type.

The provider's business location address is:

1981 HOLLYWOOD DR
SUITE 200
JACKSON, TN
ZIP 38305-368
Phone: (731) 668-2211
Fax: (731) 668-0406

The provider's authorized official is Audrey Beth James .
The authorized official title is Executive Director and has the following contact phone number (731) 668-2211.

The enumeration date for this NPI number is 6/16/2016 and was last updated on 6/16/2016.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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