JACKSON HEALTHCARE LLC

AVONDAALE, AZ
NPI1417347055
Entity TypeOrganization
Authorized ContactTHOMAS MORGAN
Owner
623-935-9920
Organization Subpart ?No
Primary Taxonomy2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
Additional Taxonomies363LF0000X Nurse Practitioner, Family
364SF0001X Clinical Nurse Specialist, Family Health
Enumeration Date2015-02-04
Last Update Date2015-02-04
Business Address
JACKSON HEALTHCARE LLC
12409 W INDIAN SCHOOL RD SUITE #B210
AVONDAALE, AZ 85392
Phone number: 623-935-9920
Mailing Address
JACKSON HEALTHCARE LLC
PO BOX 11180
TEMPE, AZ 85392
Phone number: 480-264-3744