Shirley McMillan Jackson
Shirley McMillan Jackson is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mobile, Alabama. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
2117 Luckner CtMobile, AL 36618-2618
Phone: (251) 423-8197
Fax: (251) 452-4797
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1063838878 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 17, 2014 |
| Last updated in NPPES | March 17, 2014 |
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