Individual provider · Type 1 NPI
Paul Jackson
Adult Companion · Garland, TX
NPI number
1639435019
Active
Practice location
2229 Pueblo Dr
Garland, TX 75040-4328
Fax (972) 414-1261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Companion Primary | 372600000X | None listed |
Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
About NPI 1639435019
Paul Jackson's National Provider Identifier is 1639435019, issued on Apr 10, 2012. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Garland, TX. The record was last updated on Apr 10, 2012.