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Jackson's Group Home
Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Madrid, Missouri
NPI 1467575357

Jackson's Group Home is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in New Madrid, MO. Jackson's Group Home practices in New Madrid, MO. The NPI Number for Jackson's Group Home is 1467575357 and holds a License No. (Missouri).

The current practice location address for Jackson's Group Home is 7570 Us Highway 61, New Madrid, MO and can be reached out via phone at 573-688-2228 and via fax at 537-688-5174.

Location: 7570 Us Highway 61, New Madrid, MO, 63869-9183
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467575357
Provider Name
Jackson's Group Home
Credential
Provider Entity Type
Organization
Address
7570 Us Highway 61, New Madrid, MO, 63869-9183
Phone Number
573-688-2228
Fax Number
537-688-5174
Provider Enumeration Date
04/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7570 Us Highway 61
City
New Madrid
State
Missouri
Zip
63869-9183
Phone Number
573-688-2228
Fax Number
537-688-5174
person
Provider Business Mailing Address Details
Address
7570 Us Highway 61
City
New Madrid
State
Missouri
Zip
63869-9183
Phone Number
573-688-2228
Fax Number
537-688-5174
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
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Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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