RICHARD JACKSON

DECATUR, GA
NPI1144192568
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QA0600X Clinic/Center, Adult Day Care
Enumeration Date2025-09-23
Last Update Date2025-10-24
Business Address
RICHARD JACKSON
811 CRESTE DR
DECATUR, GA 30035-4135
Phone number: 678-881-7888
Mailing Address
RICHARD JACKSON
811 CRESTE DR
DECATUR, GA 30035-4135
Phone number: 678-881-7888
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