Individual provider · Type 1 NPI

Alecia Vanessa Stephanie Jack

Homemaker · Kissimmee, FL

NPI number 1972067262 Active

Practice location

1909 Brack St
Kissimmee, FL 34744-3422

Call (772) 713-1397 Map

Specialties and licenses

TaxonomyCodeLicense
Homemaker Primary 376J00000XBTR13349 (FL)

Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

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About NPI 1972067262

Alecia Vanessa Stephanie Jack's National Provider Identifier is 1972067262, issued on Jan 30, 2019. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Kissimmee, FL. The record was last updated on Jan 30, 2019.