Vanessa Jackson - Far Rockaway, NY

Vanessa Jackson

Adult Care Home Facility in Far Rockaway, New York

NPI 1003204678

Vanessa Jackson is an Adult Care Home Facility based in Far Rockaway, NY and is specialized in Adult Care Home. Vanessa Jackson practices in Far Rockaway, NY. The NPI Number for Vanessa Jackson is 1003204678 and holds a License No. 320584 (New York).

The current practice location address for Vanessa Jackson is 2922 Falcon Ave, Far Rockaway, NY and can be reached out via phone at 347-576-9654.

Location: 2922 Falcon Ave, Far Rockaway, NY, 11691-1845

NPI Number

1003204678

Provider Name

Vanessa Jackson

Credential

Provider Entity Type

Individual

Gender

Female

Address

2922 Falcon Ave, Far Rockaway, NY, 11691-1845

Phone Number

347-576-9654

Fax Number

Provider Enumeration Date

01/05/2015

Last Update Date

03/09/2024

Address

2922 Falcon Ave

City

Far Rockaway

State

New York

Zip

11691-1845

Phone Number

347-576-9654

Fax Number

Address

2922 Falcon Ave

City

Far Rockaway

State

New York

Zip

11691-1845

Phone Number

347-576-9654

Fax Number

Type

Nursing & Custodial Care Facilities

Classification

Custodial Care Facility

Speciality

Adult Care Home

Taxonomy

311ZA0620X

License No.

320584 (New York)

Definition

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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