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Ladonna Jackson
Mental Illness Community Based Residential Treatment Facility in Tucson, Arizona
NPI 1518032945

Ladonna Jackson is a Mental Illness Community Based Residential Treatment Facility based in Tucson, AZ. Ladonna Jackson practices in Tucson, AZ. The NPI Number for Ladonna Jackson is 1518032945 and holds a License No. BH4932 (Arizona).

The current practice location address for Ladonna Jackson is 1866 N Marble Ridge Pl, Tucson, AZ and can be reached out via phone at 520-722-9296. You can also correspond with Ladonna Jackson through the mailing address at 1866 N MARBLE RIDGE PL, TUCSON, AZ - 85715-4574 (mailing address contact number: 520-722-9296).

Location: 1866 N Marble Ridge Pl, Tucson, AZ, 85715-4574
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Provider Profile Details
NPI Number
1518032945
Provider Name
Ladonna Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1866 N Marble Ridge Pl, Tucson, AZ, 85715-4574
Phone Number
520-722-9296
Fax Number
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH4932 01 AZ AZ DEPT OF HEALTH SERVICES
764721 05 AZ
institution
Provider Business Practice Location Address Details
Address
1866 N Marble Ridge Pl
City
State
Zip
85715-4574
Phone Number
520-722-9296
Fax Number
person
Provider Business Mailing Address Details
Address
1866 N Marble Ridge Pl
City
State
Zip
85715-4574
Phone Number
520-722-9296
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
BH-2808 (Arizona)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
BH4932 (Arizona)
Definition
Definition to come.
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