Jackson Group Home
Jackson Group Home is an Intellectual Disabilities Intermediate Care Facility in Alexandria, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.
- Licensed in
- LA
- In the registry since
- 2006
Practice location Address checks out
325 McKeithen DrAlexandria, LA 71303
Phone: (318) 473-0217
Fax: (318) 473-0256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 814 (LA) |
|---|
Record details
| NPI number | 1598784647 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Westside Habilitation Center, Inc |
| Authorized official | Christina Bolton — Administrator · (318) 445-1551 |
| NPI enumerated | July 19, 2006 |
| Last updated in NPPES | November 7, 2009 |
| Mailing address | Po Box 7917, Alexandria, LA 71306-0917 |
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