Organization · Type 2 NPI
Latoria Jackson, LLC
Adult Care Home Facility · Gibsonton, FL
NPI number
1518800481
Active
Practice location
12802 Kings Lake Dr
Gibsonton, FL 33534-3907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | None listed |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
About NPI 1518800481
Latoria Jackson, LLC's National Provider Identifier is 1518800481, issued on Apr 14, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Gibsonton, FL. The record was last updated on Apr 14, 2026.