Ladonna Jackson - Tucson, AZ

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.

Location: 1866 N Marble Ridge Pl, Tucson, AZ, 85715-4574

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

Identifier	Type	State	Issuer
BH4932	01	AZ	AZ DEPT OF HEALTH SERVICES
764721	05	AZ

Address

1866 N Marble Ridge Pl

City

Tucson

State

Arizona

Zip

85715-4574

Phone Number

520-722-9296

Fax Number

Address

1866 N Marble Ridge Pl

City

Tucson

State

Arizona

Zip

85715-4574

Phone Number

520-722-9296

Fax Number

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Mental Illness

Speciality

Taxonomy

320800000X

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.

Type

Respite Care Facility

Classification

Respite Care

Speciality

Taxonomy

385H00000X

License No.

BH4932 (Arizona)

Definition

Definition to come.

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