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Search › Florida › Adult Care Home Facility

Julliet Jackson

NPI 1922438464 · on the registry since 2013 · sole proprietor

Practice

Address
17345 Edgewater Dr
Port Charlotte, FL 33948
Phone
(941) 766-0175

Registry record

Primary taxonomy
Adult Care Home Facility
311ZA0620X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-11-20

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 Florida