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Mrs. Yolanda H. Jackson
PACE Provider Organization in Boyle, Mississippi
NPI 1740626290

Yolanda H. Jackson is a PACE Provider Organization based in Boyle, MS. Yolanda H. Jackson practices in Boyle, MS. The NPI Number for Yolanda H. Jackson is 1740626290 and holds a License No. (Mississippi).

The current practice location address for Yolanda H. Jackson is 512 Thomas St., Boyle, MS and can be reached out via phone at 662-545-4867.

Location: 512 Thomas St., Boyle, MS, 38730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740626290
Provider Name
Yolanda H. Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
512 Thomas St., Boyle, MS, 38730
Phone Number
662-545-4867
Fax Number
Provider Enumeration Date
05/10/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38730 05 MS
institution
Provider Business Practice Location Address Details
Address
512 Thomas St.
City
Boyle
State
Mississippi
Zip
38730
Phone Number
662-545-4867
Fax Number
person
Provider Business Mailing Address Details
Address
512 Thomas St.
City
Boyle
State
Mississippi
Zip
38730
Phone Number
662-545-4867
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Speciality
-
Taxonomy
251T00000X
License No.
(Mississippi)
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
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