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Vera Lorraine Jackson
Adult Care Home Facility in Baltimore, Maryland
NPI 1386319622

Vera Lorraine Jackson is an Adult Care Home Facility based in Baltimore, MD and is specialized in Adult Care Home. Vera Lorraine Jackson practices in Baltimore, MD. The NPI Number for Vera Lorraine Jackson is 1386319622 and holds a License No. (Maryland).

The current practice location address for Vera Lorraine Jackson is 3905 White Ave, Baltimore, MD and can be reached out via phone at 443-325-6600.

Location: 3905 White Ave, Baltimore, MD, 21206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386319622
Provider Name
Vera Lorraine Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3905 White Ave, Baltimore, MD, 21206
Phone Number
443-325-6600
Fax Number
Provider Enumeration Date
08/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3905 White Ave
City
Baltimore
State
Maryland
Zip
21206
Phone Number
443-325-6600
Fax Number
person
Provider Business Mailing Address Details
Address
3905 White Ave
City
Baltimore
State
Maryland
Zip
21206
Phone Number
443-325-6600
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.
()
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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