Individual provider · Type 1 NPI
Latoria Nicole Jackson
Non-emergency Medical Transport (VAN) · Loganville, GA
NPI number
1922500289
Active
Practice location
4150 Alexis Ct
Loganville, GA 30052-9070
Fax (888) 948-2083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Adult Day Care Clinic/Center | 261QA0600X | None listed |
| Developmental Disabilities Clinic/Center | 261QD1600X | None listed |
| Assisted Living Facility (Mental Illness) | 3104A0625X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
| Adult Companion | 372600000X | None listed |
| Day Training/Habilitation Specialist | 373H00000X | None listed |
| Non-emergency Medical Transport (VAN) Primary | 343900000X | None listed |
Non-emergency Medical Transport (VAN): A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
Other non-emergency medical transport (van) providers in Loganville
About NPI 1922500289
Latoria Nicole Jackson's National Provider Identifier is 1922500289, issued on Mar 2, 2018. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Loganville, GA. The record was last updated on Mar 2, 2018.