Individual provider · Type 1 NPI

Carl'averis Jackson

Personal Care Attendant · Dayton, OH

NPI number 1104419092 Active

Practice location

1646 Wesleyan Rd # B
Dayton, OH 45406-3606

Specialties and licenses

Taxonomy	Code	License
Home Health Aide	374U00000X	None listed
Personal Care Attendant Primary	3747P1801X	None listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

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About NPI 1104419092

Carl'averis Jackson's National Provider Identifier is 1104419092, issued on Feb 11, 2021. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Dayton, OH. The record was last updated on Feb 11, 2021.