Ladonna Jackson
Ladonna Jackson is a Respite Care in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1866 N Marble Ridge PlTucson, AZ 85715-4574
Phone: (520) 722-9296
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Specialties & licences
| Respite Care (primary) | Taxonomy 385H00000X · Licence BH4932 (AZ) |
|---|---|
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X · Licence BH-2808 (AZ) |
Record details
| NPI number | 1518032945 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 21, 2006 |
| Last updated in NPPES | July 27, 2020 |
| Certification date | July 27, 2020 |
| Mailing address | 1866 N Marble Ridge Pl, Tucson, AZ 85715-4574 |
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