Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TOMIAH JACKSON
Active Sole ProprietorTOMIAH JACKSON is a Adult Day Care Facility healthcare provider located in WAUWATOSA, Wisconsin. NPI 1275403388 is currently active in the NPPES registry. Verify at CMS.
Adult Day Care Facility · WAUWATOSA, WI
Registration Details
- NPI Number
- 1275403388
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 5, 2025 (0.8052124057208 yrs)
- Last Updated
- Nov 5, 2025
- License
-
0021599 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4057 N MAYFAIR RDWAUWATOSA, WI, 532221101Browse WI providers · Browse ZIP 53222
- Phone
- 4147881084
- Fax
- 8622637319
- Primary Specialty
-
Adult Day Care Facility
261QA0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.