Individual provider · Type 1 NPI

Alice Jackson

Attendant Care Provider · Moreland, GA

NPI number 1366090813 Active

Practice location

1389 Gordon Rd
Moreland, GA 30259-2541

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone 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 1366090813

Alice Jackson's National Provider Identifier is 1366090813, issued on Aug 28, 2019. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Moreland, GA. The record was last updated on Aug 28, 2019.