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Carl'averis Jackson
Personal Care Attendant in Dayton, Ohio
NPI 1104419092

Carl'averis Jackson is a Personal Care Attendant based in Dayton, OH and is specialized in Personal Care Attendant. Carl'averis Jackson practices in Dayton, OH. The NPI Number for Carl'averis Jackson is 1104419092 and holds a License No. (Ohio).

The current practice location address for Carl'averis Jackson is 1646 Wesleyan Rd # B, Dayton, OH and can be reached out via phone at 937-985-2275.

Location: 1646 Wesleyan Rd # B, Dayton, OH, 45406-3606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104419092
Provider Name
Carl'averis Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1646 Wesleyan Rd # B, Dayton, OH, 45406-3606
Phone Number
937-985-2275
Fax Number
Provider Enumeration Date
02/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1646 Wesleyan Rd # B
City
Dayton
State
Ohio
Zip
45406-3606
Phone Number
937-985-2275
Fax Number
person
Provider Business Mailing Address Details
Address
1646 Wesleyan Rd # B
City
Dayton
State
Ohio
Zip
45406-3606
Phone Number
937-985-2275
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
()
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
()
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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