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Search › Alabama › Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Shirley Mcmillan Jackson

NPI 1063838878 · on the registry since 2014 · sole proprietor

Practice

Address
2117 Luckner Ct
Mobile, AL 36618
Phone
(251) 423-8197
Fax
(251) 452-4797
Organisation at this address
Exclusive Residential Service Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Sex
Female
Record last updated
2014-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama