JACKSON GROUP HOME LLC – Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, NPI 1487890786
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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Provider Addresses for JACKSON GROUP HOME LLC
18, Ridgewood Drive, Hannibal, Marion County, Missouri, 63401, United States
HANNIBAL, MO 634013056
Phone: (573) 221-4671
Fax: (573) 221-4671
Mailing address matches the actual address.
NPPES updates history
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63401)
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