MARDELL JACKSON

Assisted Living Facility

NPI: 1598247009Individual

Specialties, Licenses & Credentials

Assisted Living FacilityPrimary

Assisted Living Facility

Code: 310400000X

Contact & Hours

Address: 197 NW GWEN LAKE AVE
LAKE CITY, FL 32055
Phone: (386) 697-9425

Quick Facts

NPI: 1598247009
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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