JULLIET JACKSON

PORT CHARLOTTE, FL
NPI1922438464
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL  6905617)
Enumeration Date2013-11-20
Last Update Date2013-11-20
Business Address
-- JULLIET JACKSON
17345 EDGEWATER DR
PORT CHARLOTTE, FL 33948-2343
Phone number: 941-766-0175
Mailing Address
-- JULLIET JACKSON
17345 EDGEWATER DR
PORT CHARLOTTE, FL 33948-2343
Phone number: 941-766-0175
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