| NPI | 1679344402 |
|---|---|
| Doing Business As | JACKSON CREEK MEMORY CARE |
| Entity Type | Organization |
| Authorized Contact | JOHN MITCHELL Secretary 385-988-3319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-08-21 |