Naomi Jackson
Naomi Jackson is a Foster Care Agency in Cottage Grove, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2023
- Specialties on file
- 3
Practice location Address checks out
7691 62nd St SCottage Grove, MN 55016-4676
Phone: (651) 447-0398
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 1112024 (MN) |
|---|---|
| Foster Care Agency | Taxonomy 253J00000X · Licence 1114922 (MN) |
| In Home Supportive Care Agency | Taxonomy 253Z00000X · Licence 1112024 (MN) |
Record details
| NPI number | 1366229122 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 13, 2023 |
| Last updated in NPPES | September 13, 2023 |
| Certification date | September 13, 2023 |
| Mailing address | 7691 62nd St S, Cottage Grove, MN 55016-4676 |
Other providers in Cottage Grove
-
Zemzem M Tena
6615 Bluestem Ln S, Cottage Grove, MN 55016-4486 · (651) 434-5530