Kmjackson is a Home Health Aide based in Youngstown, OH. Kmjackson practices in Youngstown, OH. The NPI Number for Kmjackson is 1235809237 and holds a License No. (Ohio).
The current practice location address for Kmjackson is 2020 Brownlee Ave, Youngstown, OH and can be reached out via phone at 330-402-9641.
Location: 2020 Brownlee Ave, Youngstown, OH, 44514-1016
Provider Profile Details
NPI Number
1235809237
Provider Name
Kmjackson
Credential
Provider Entity Type
Organization
Address
2020 Brownlee Ave, Youngstown, OH, 44514-1016
Phone Number
330-402-9641
Fax Number
Provider Enumeration Date
09/20/2021
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235809237 | 05 | OH | |
| 1073119525 | 01 | OH | NPI |
Provider Business Practice Location Address Details
Address
2020 Brownlee Ave
City
State
Zip
44514-1016
Phone Number
330-402-9641
Fax Number
Provider Business Mailing Address Details
Address
2020 Brownlee Ave
City
State
Zip
44514-1016
Phone Number
330-402-9641
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
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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