Demarcus Jackson
Demarcus Jackson is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Memphis, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.
- Licensed in
- TN
- In the registry since
- 2025
Practice location Address checks out
938 Breedlove StMemphis, TN 38107-4272
Phone: (901) 463-6940
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (TN) |
|---|
Record details
| NPI number | 1912888405 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 10, 2025 |
| Last updated in NPPES | September 10, 2025 |
| Certification date | September 10, 2025 |
| Mailing address | 938 Breedlove St, Memphis, TN 38107-4272 |
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