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Mr. Antwain Jackson
Day Training/Habilitation Specialist in Decatur, Alabama
NPI 1063096147

Antwain Jackson is a Day Training/Habilitation Specialist based in Decatur, AL. Antwain Jackson practices in Decatur, AL. The NPI Number for Antwain Jackson is 1063096147 and holds a License No. (Alabama).

The current practice location address for Antwain Jackson is 1711 10Th Ave Se, Decatur, AL and can be reached out via phone at 256-226-0150.

Location: 1711 10Th Ave Se, Decatur, AL, 35601-4915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063096147
Provider Name
Antwain Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1711 10Th Ave Se, Decatur, AL, 35601-4915
Phone Number
256-226-0150
Fax Number
Provider Enumeration Date
05/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1711 10Th Ave Se
City
Decatur
State
Alabama
Zip
35601-4915
Phone Number
256-226-0150
Fax Number
person
Provider Business Mailing Address Details
Address
1711 10Th Ave Se
City
Decatur
State
Alabama
Zip
35601-4915
Phone Number
256-226-0150
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
()
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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