JACKSON FALLS INC NPI 1922437318

NPI Information

NPI: 1922437318
Provider Name: JACKSON FALLS INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
5611 WILDERNESS TRCE
STONE MTN, GA
ZIP 30087
Phone: (404) 803-3805
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JACKSON FALLS INC is an assisted living facility in Stone Mtn, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. JACKSON FALLS INC NPI is 1922437318. The provider is registered as an organization entity type.

The provider's business location address is:

5611 WILDERNESS TRCE
STONE MTN, GA
ZIP 30087-266
Phone: (404) 803-3805

The provider's authorized official is Celia Jackson .
The authorized official title is Ceo and has the following contact phone number (404) 803-3805.

The enumeration date for this NPI number is 11/5/2013 and was last updated on 11/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		044018521	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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