Individual provider · Type 1 NPI

Anita Dionne Jackson

Home Health Agency · Palm Coast, FL

NPI number 1134699481 Active

Practice location

29 Baltimore Ln
Palm Coast, FL 32137-8851

Fax (386) 303-5536

Mailing address

17 Old Kings Rd N Ste E
Palm Coast, FL 32137-8283

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency 253Z00000XNone listed
Home Health Agency Primary 251E00000X30212414 (FL)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1134699481

Anita Dionne Jackson's National Provider Identifier is 1134699481, issued on Nov 29, 2018. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Palm Coast, FL. The record was last updated on Sep 29, 2026.