Individual provider · Type 1 NPI
Kim Jackson
Attendant Care Provider · Grovetown, GA
Practice location
1264 Newmantown Rd
Grovetown, GA 30813-3610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Attendant Care Provider Primary | 3747A0650X | None 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.
Another provider at this address
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About NPI 1689269243
Kim Jackson's National Provider Identifier is 1689269243, issued on Mar 5, 2021. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Grovetown, GA. The record was last updated on Mar 5, 2021.