Individual provider · Type 1 NPI

Reginald D. Jackson

Attendant Care Provider · Lafayette, LA

NPI number 1558041491 Active

Practice location

515 S College Rd
Lafayette, LA 70503-3352

Call (337) 269-1165 Map

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 1558041491

Reginald D. Jackson's National Provider Identifier is 1558041491, issued on Jul 24, 2023. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Lafayette, LA. The record was last updated on Jul 24, 2023.