Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kendall Jackson

Individual provider Substance Abuse Rehabilitation Facility · NPI 1184557456

Kendall Jackson is a Substance Abuse Rehabilitation Facility in Sugar Grove, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

133 Hedrick Dr
Sugar Grove, WV 26815-5068
Phone: (310) 910-0406
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1184557456
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 5, 2026
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing address133 Hedrick Dr, Sugar Grove, WV 26815-5068

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