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Shonta Jackson
Home Health Agency in Charlotte, North Carolina
NPI 1013511070

Shonta Jackson is a Home Health Agency based in Charlotte, NC. Shonta Jackson practices in Charlotte, NC. The NPI Number for Shonta Jackson is 1013511070 and holds a License No. (North Carolina).

The current practice location address for Shonta Jackson is 8301 Pence Rd Apt B, Charlotte, NC and can be reached out via phone at 803-342-0553.

Location: 8301 Pence Rd Apt B, Charlotte, NC, 28215-4357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013511070
Provider Name
Shonta Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
8301 Pence Rd Apt B, Charlotte, NC, 28215-4357
Phone Number
803-342-0553
Fax Number
Provider Enumeration Date
11/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8301 Pence Rd Apt B
City
Charlotte
State
North Carolina
Zip
28215-4357
Phone Number
803-342-0553
Fax Number
person
Provider Business Mailing Address Details
Address
8301 Pence Rd Apt B
City
Charlotte
State
North Carolina
Zip
28215-4357
Phone Number
803-342-0553
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
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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