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Jackson Feild Homes
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jarratt, Virginia
NPI 1194000430

Jackson Feild Homes is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jarratt, VA. Jackson Feild Homes practices in Jarratt, VA. The NPI Number for Jackson Feild Homes is 1194000430 and holds a License No. 1376-05-001 (Virginia).

The current practice location address for Jackson Feild Homes is 546 Walnut Grove Dr, Jarratt, VA and can be reached out via phone at 434-634-3217 and via fax at 434-348-3471.

Location: 546 Walnut Grove Dr, Jarratt, VA, 23867-8611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194000430
Provider Name
Jackson Feild Homes
Credential
Provider Entity Type
Organization
Address
546 Walnut Grove Dr, Jarratt, VA, 23867-8611
Phone Number
434-634-3217
Fax Number
434-348-3471
Provider Enumeration Date
10/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376-05-001 05 VA
institution
Provider Business Practice Location Address Details
Address
546 Walnut Grove Dr
City
Jarratt
State
Virginia
Zip
23867-8611
Phone Number
434-634-3217
Fax Number
434-348-3471
person
Provider Business Mailing Address Details
Address
546 Walnut Grove Dr
City
Jarratt
State
Virginia
Zip
23867-8611
Phone Number
434-634-3217
Fax Number
434-348-3471
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
1376-05-001 (Virginia)
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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