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Search › West Virginia › Substance Abuse Rehabilitation Facility

Kendall Jackson

NPI 1184557456 · on the registry since 2026 · sole proprietor

Practice

Address
133 Hedrick Dr
Sugar Grove, WV 26815
Phone
(310) 910-0406
Organisation at this address
Sugar Grove Mbh-Ga, Llc
Liberty Community Programs Wv
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Substance Abuse Rehabilitation Facility
324500000X
Sex
Female
Record last updated
2026-06-05

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 West Virginia