RN Itelya Jackson, NPI 1811352412
In Home Supportive Care Agency in Winston, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1811352412
NPI Entity Type Individual
Provider Name RN Itelya Jackson
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 6957 Pine Shadow Way, Winston, GA, US
Provider Mailing Address 8491 Hospital Dr # 135, Douglasville, GA, US, 301342412
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

253Z00000X

Taxonomy Name In Home Supportive Care Agency
Classification

In Home Supportive Care

Group

Agencies

Description An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Business Address

RN Itelya Jackson
6957 Pine Shadow Way

Winston, GA, US

Phone: 678-540-4446
Fax: 678-540-4426

Mailing Address

RN Itelya Jackson
8491 Hospital Dr # 135
Douglasville, GA, US
ZIP 301342412
Phone: 678-540-4446
Fax: 678-540-4426

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