VANESSA JACKSON

FAR ROCKAWAY, NY
NPI1003204678
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: NY  320584)
Enumeration Date2015-01-05
Last Update Date2015-01-05
Business Address
-- VANESSA JACKSON
2922 FALCON AVE
FAR ROCKAWAY, NY 11691-1845
Phone number: 347-576-9654
Mailing Address
-- VANESSA JACKSON
2922 FALCON AVE
FAR ROCKAWAY, NY 11691-1845
Phone number: 347-576-9654
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