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1013422567
JACKSON INDEPENDENT LIVING, LLC.
MILWAUKEE, WI
NPI
1013422567
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Entity Type
Organization
Authorized Contact
JIHAD JACKSON
CEO
262-613-2960
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2017-12-06
Last Update Date
2018-06-16
Business Address
JACKSON INDEPENDENT LIVING, LLC.
2200 N COMMERCE ST
MILWAUKEE, WI 53212-3497
Phone number: 262-613-2960
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Mailing Address
JACKSON INDEPENDENT LIVING, LLC.
N67W13215 DAYLILY DR
MENOMONEE FALLS, WI 53051-0504
Phone number:
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