Individual provider · Type 1 NPI
Latavia Jackson
Personal Care Attendant · Shreveport, LA
Practice location
264 Wichita St
Shreveport, LA 71101-4932
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Personal Care Attendant Primary | 3747P1801X | 2203782259 (LA) |
Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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About NPI 1700536380
Latavia Jackson's National Provider Identifier is 1700536380, issued on Mar 25, 2022. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Shreveport, LA. The record was last updated on Mar 25, 2022.