person
Charles Dangelo Jackson
Home Health Agency in Trotwood, Ohio
NPI 1003513599

Charles Dangelo Jackson is a Home Health Agency based in Trotwood, OH. Charles Dangelo Jackson practices in Trotwood, OH. The NPI Number for Charles Dangelo Jackson is 1003513599 and holds a License No. (Ohio).

The current practice location address for Charles Dangelo Jackson is 326 Stubbs Dr, Trotwood, OH and can be reached out via phone at 513-328-5132.

Location: 326 Stubbs Dr, Trotwood, OH, 45426-3109
person
Provider Profile Details
NPI Number
1003513599
Provider Name
Charles Dangelo Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
326 Stubbs Dr, Trotwood, OH, 45426-3109
Phone Number
513-328-5132
Fax Number
Provider Enumeration Date
02/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
326 Stubbs Dr
City
State
Zip
45426-3109
Phone Number
513-328-5132
Fax Number
person
Provider Business Mailing Address Details
Address
326 Stubbs Dr
City
State
Zip
45426-3109
Phone Number
513-328-5132
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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