| NPI | 1457342289 |
|---|---|
| Doing Business As | JACKSON MANOR NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | JAY MOSKOWITZ President 303-238-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 031659) |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2016-04-25 |