IndividualActive
Carmen Jackson
NPI 1356733505 · Custodial Care Facility · Terrytown, LA
Provider details
- NPI number
- 1356733505
- Entity type
- Individual
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1799 Stumpf Blvd
Terrytown, LA 70056-3950
Phone: (504) 227-1492
Approximate (ZIP-level) locationGet directions
Mailing address
1799 Stumpf Blvd
Terrytown, LA 70056-3950
Registry dates
- Enumerated
- 2015-02-25
- Last updated
- 2015-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.