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Callie Rae Jackson
Personal Care Attendant in Papillion, Nebraska
NPI 1184345241

Callie Rae Jackson is a Personal Care Attendant based in Papillion, NE and is specialized in Personal Care Attendant. Callie Rae Jackson practices in Papillion, NE. The NPI Number for Callie Rae Jackson is 1184345241 and holds a License No. (Nebraska).

The current practice location address for Callie Rae Jackson is 10520 S 123Rd Ave, Papillion, NE and can be reached out via phone at 402-514-3650.

Location: 10520 S 123Rd Ave, Papillion, NE, 68046-4393
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184345241
Provider Name
Callie Rae Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
10520 S 123Rd Ave, Papillion, NE, 68046-4393
Phone Number
402-514-3650
Fax Number
Provider Enumeration Date
09/07/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3747P1801X 05 NE
institution
Provider Business Practice Location Address Details
Address
10520 S 123Rd Ave
City
Papillion
State
Nebraska
Zip
68046-4393
Phone Number
402-514-3650
Fax Number
person
Provider Business Mailing Address Details
Address
10520 S 123Rd Ave
City
Papillion
State
Nebraska
Zip
68046-4393
Phone Number
402-514-3650
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
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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
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