person
Ms. Judy Marie Jackson
Adult Care Home Facility in Rex, Georgia
NPI 1548671316

Judy Marie Jackson is an Adult Care Home Facility based in Rex, GA and is specialized in Adult Care Home. Judy Marie Jackson practices in Rex, GA. The NPI Number for Judy Marie Jackson is 1548671316 and holds a License No. 031-01-129-1 (Georgia).

The current practice location address for Judy Marie Jackson is 5941 Wilerson Rd., Rex, GA and can be reached out via phone at 678-284-1355 and via fax at 678-284-1355.

Location: 5941 Wilerson Rd., Rex, GA, 30273-1506
person
Provider Profile Details
NPI Number
1548671316
Provider Name
Judy Marie Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
5941 Wilerson Rd., Rex, GA, 30273-1506
Phone Number
678-284-1355
Fax Number
678-284-1355
Provider Enumeration Date
05/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5941 Wilerson Rd.
City
Rex
State
Zip
30273-1506
Phone Number
678-284-1355
Fax Number
678-284-1355
person
Provider Business Mailing Address Details
Address
5941 Wilerson Rd.
City
Rex
State
Zip
30273-1506
Phone Number
678-284-1355
Fax Number
678-284-1355
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
License No.
031-01-129-1 (Georgia)
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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