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Anita Dionne Jackson
Home Health Agency in Palm Coast, Florida
NPI 1134699481

Anita Dionne Jackson is a Home Health Agency based in Palm Coast, FL. Anita Dionne Jackson practices in Palm Coast, FL. The NPI Number for Anita Dionne Jackson is 1134699481 and holds a License No. (Florida).

The current practice location address for Anita Dionne Jackson is 29 Baltimore Ln, Palm Coast, FL and can be reached out via phone at 386-264-1398 and via fax at 386-303-5536.

Location: 29 Baltimore Ln, Palm Coast, FL, 32137-8283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134699481
Provider Name
Anita Dionne Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
29 Baltimore Ln, Palm Coast, FL, 32137-8283
Phone Number
386-264-1398
Fax Number
386-303-5536
Provider Enumeration Date
11/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
29 Baltimore Ln
City
Palm Coast
State
Florida
Zip
32137-8851
Phone Number
386-264-1398
Fax Number
386-303-5536
person
Provider Business Mailing Address Details
Address
29 Baltimore Ln
City
Palm Coast
State
Florida
Zip
32137-8851
Phone Number
386-264-1398
Fax Number
386-303-5536
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
30212414 (Florida)
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.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
(Florida)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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