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Donnita Kaye Jackson
Physical Disabilities Residential Treatment Facility in Austin, Texas
NPI 1689924433

Donnita Kaye Jackson is a Physical Disabilities Residential Treatment Facility based in Austin, TX. Donnita Kaye Jackson practices in Austin, TX. The NPI Number for Donnita Kaye Jackson is 1689924433 and holds a License No. (Texas).

The current practice location address for Donnita Kaye Jackson is 1210 South Trace, Austin, TX and can be reached out via phone at 512-888-5985.

Location: 1210 South Trace, Austin, TX, 78745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689924433
Provider Name
Donnita Kaye Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1210 South Trace, Austin, TX, 78745
Phone Number
512-888-5985
Fax Number
Provider Enumeration Date
09/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1210 South Trace
City
Austin
State
Texas
Zip
78745
Phone Number
512-888-5985
Fax Number
person
Provider Business Mailing Address Details
Address
1210 South Trace
City
Austin
State
Texas
Zip
78745
Phone Number
512-888-5985
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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