person
Shirley Mcmillan Jackson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mobile, Alabama
NPI 1063838878

Shirley Mcmillan Jackson is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Prichard, AL. Shirley Mcmillan Jackson practices in Mobile, AL. The NPI Number for Shirley Mcmillan Jackson is 1063838878 and holds a License No. (Alabama).

The current practice location address for Shirley Mcmillan Jackson is 2117 Luckner Ct, Mobile, AL and can be reached out via phone at 251-423-8197 and via fax at 251-452-4797. You can also correspond with Shirley Mcmillan Jackson through the mailing address at 410 S WILSON AVE, PRICHARD, AL - 36610-3910 (mailing address contact number: 251-423-1897).

Location: 2117 Luckner Ct, Mobile, AL, 36610-3910
person
Provider Profile Details
NPI Number
1063838878
Provider Name
Shirley Mcmillan Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2117 Luckner Ct, Mobile, AL, 36610-3910
Phone Number
251-423-8197
Fax Number
251-452-4797
Provider Enumeration Date
03/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2117 Luckner Ct
City
State
Zip
36618-2618
Phone Number
251-423-8197
Fax Number
251-452-4797
person
Provider Business Mailing Address Details
Address
2117 Luckner Ct
City
State
Zip
36618-2618
Phone Number
251-423-8197
Fax Number
251-452-4797
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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