Individual provider · Type 1 NPI

Celia Anderson Jackson

Attendant Care Provider · Columbia, SC

NPI number 1073237350 Active

Practice location

2441 Atlas Road
Columbia, SC 29209-9744

Call (404) 803-3805 Map

Mailing address

127 Lateesha Rd
Hopkins, SC 29061-9744

Specialties and licenses

Taxonomy	Code	License
Community Health Worker	172V00000X	None listed
Home Health Agency	251E00000X	None listed
Adult Care Home Facility	311ZA0620X	None listed
Personal Care Attendant	3747P1801X	None listed
Home Health Aide	374U00000X	None listed
Attendant Care Provider Primary	3747A0650X	None listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1073237350

Celia Anderson Jackson's National Provider Identifier is 1073237350, issued on Sep 29, 2022. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Columbia, SC. The record was last updated on Dec 4, 2024.