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D Michele Jackson
Adult Care Home Facility in Hoover, Alabama
NPI 1295117125

D Michele Jackson is an Adult Care Home Facility based in Hoover, AL and is specialized in Adult Care Home. D Michele Jackson practices in Hoover, AL. The NPI Number for D Michele Jackson is 1295117125 and holds a License No. 1150840 (Alabama).

The current practice location address for D Michele Jackson is 2620 River Haven Ln, Hoover, AL and can be reached out via phone at 302-391-4645.

Location: 2620 River Haven Ln, Hoover, AL, 35244-1273
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295117125
Provider Name
D Michele Jackson
Credential
Provider Entity Type
Organization
Address
2620 River Haven Ln, Hoover, AL, 35244-1273
Phone Number
302-391-4645
Fax Number
Provider Enumeration Date
06/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2620 River Haven Ln
City
Hoover
State
Alabama
Zip
35244-1273
Phone Number
302-391-4645
Fax Number
person
Provider Business Mailing Address Details
Address
2620 River Haven Ln
City
Hoover
State
Alabama
Zip
35244-1273
Phone Number
302-391-4645
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
1150840 (Alabama)
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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