| NPI | 1912278110 |
|---|---|
| Doing Business As | JACKSON HOMECARE MINISTRIES 2 |
| Entity Type | Organization |
| Authorized Contact | L V NONE JACKSON Administrator 615-642-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TN L000000012559;12560;) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2013-11-12 |