OrganizationActive
Jackson Personal Care
NPI 1528696382 · In Home Supportive Care Agency · Indianola, MS
Provider details
- NPI number
- 1528696382
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Stacy Jackson, Owner(662) 303-6959
Specialties & taxonomies
Agencies
Practice location
117 Stonewall Dr
Indianola, MS 38751-2240
Phone: (662) 303-6959
Approximate (ZIP-level) locationGet directions
Mailing address
117 Stonewall Dr
Indianola, MS 38751-2240
Registry dates
- Enumerated
- 2020-03-28
- Last updated
- 2020-07-24
- Certified
- 2020-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.