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Jack 1 Foundation Inc.
Respite Care in Port Arthur, Texas
NPI 1396157681

Jack 1 Foundation Inc. is a Respite Care based in Port Arthur, TX. Jack 1 Foundation Inc. practices in Port Arthur, TX. The NPI Number for Jack 1 Foundation Inc. is 1396157681 and holds a License No. (Texas).

The current practice location address for Jack 1 Foundation Inc. is 235 Procter St., Port Arthur, TX and can be reached out via phone at 409-984-5720 and via fax at 409-984-5720.

Location: 235 Procter St., Port Arthur, TX, 77640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396157681
Provider Name
Jack 1 Foundation Inc.
Credential
Provider Entity Type
Organization
Address
235 Procter St., Port Arthur, TX, 77640
Phone Number
409-984-5720
Fax Number
409-984-5720
Provider Enumeration Date
05/21/2014
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
235 Procter St.
City
Port Arthur
State
Texas
Zip
77640
Phone Number
409-984-5720
Fax Number
409-984-5720
person
Provider Business Mailing Address Details
Address
235 Procter St.
City
Port Arthur
State
Texas
Zip
77640
Phone Number
409-984-5720
Fax Number
409-984-5720
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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