ANTWAIN JACKSON

DECATUR, AL
NPI1063096147
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Additional Taxonomies372600000X Adult Companion
Enumeration Date2021-05-05
Last Update Date2021-05-05
Business Address
Mr. ANTWAIN JACKSON
1711 10TH AVE SE
DECATUR, AL 35601-4915
Phone number: 256-226-0150
Mailing Address
Mr. ANTWAIN JACKSON
1711 10TH AVE SE
DECATUR, AL 35601-4915
Phone number: 256-226-0150