OrganizationActive
Jessie Mae'S Supported Living, LLC
NPI 1508663923 · Assisted Living Facility (Behavioral Disturbances) · Suffolk, VA
Provider details
- NPI number
- 1508663923
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lynnette Cross-Mack, Owner(757) 967-1062
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
614 Roosevelt Dr
Suffolk, VA 23434-3348
Phone: (757) 967-1062
Fax: (757) 801-5375
Approximate (ZIP-level) locationGet directions
Mailing address
23069 Retreat Ln
Carrollton, VA 23314-4192
Registry dates
- Enumerated
- 2025-02-25
- Last updated
- 2025-02-25
- Certified
- 2025-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.