location
search-icon
person
Julliet Jackson
Adult Care Home Facility in Port Charlotte, Florida
NPI 1922438464

Julliet Jackson is an Adult Care Home Facility based in Port Charlotte, FL and is specialized in Adult Care Home. Julliet Jackson practices in Port Charlotte, FL. The NPI Number for Julliet Jackson is 1922438464 and holds a License No. 6905617 (Florida).

The current practice location address for Julliet Jackson is 17345 Edgewater Dr, Port Charlotte, FL and can be reached out via phone at 941-766-0175.

Location: 17345 Edgewater Dr, Port Charlotte, FL, 33948-2343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922438464
Provider Name
Julliet Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
17345 Edgewater Dr, Port Charlotte, FL, 33948-2343
Phone Number
941-766-0175
Fax Number
Provider Enumeration Date
11/20/2013
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
142038100 05 FL
institution
Provider Business Practice Location Address Details
Address
17345 Edgewater Dr
City
Port Charlotte
State
Florida
Zip
33948-2343
Phone Number
941-766-0175
Fax Number
person
Provider Business Mailing Address Details
Address
17345 Edgewater Dr
City
Port Charlotte
State
Florida
Zip
33948-2343
Phone Number
941-766-0175
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
6905617 (Florida)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Port Charlotte, Florida:

person
Rosylin Agatha Parkes
NPI 1023144409
Adult Care Home Facility
23442 Garrett Ave,
PORT CHARLOTTE, FL
33954-2533
941-391-6502
More