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Traci Jackson
Personal Care Attendant in Willoughby, Ohio
NPI 1295323897

Traci Jackson is a Personal Care Attendant based in Willoughby, OH and is specialized in Personal Care Attendant. Traci Jackson practices in Willoughby, OH. The NPI Number for Traci Jackson is 1295323897 and holds a License No. (Ohio).

The current practice location address for Traci Jackson is 38365 North Ln, Willoughby, OH and can be reached out via phone at 440-749-6343.

Location: 38365 North Ln, Willoughby, OH, 44094-7415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295323897
Provider Name
Traci Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
38365 North Ln, Willoughby, OH, 44094-7415
Phone Number
440-749-6343
Fax Number
Provider Enumeration Date
01/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
38365 North Ln
City
Willoughby
State
Ohio
Zip
44094-7415
Phone Number
440-749-6343
Fax Number
person
Provider Business Mailing Address Details
Address
38365 North Ln
City
Willoughby
State
Ohio
Zip
44094-7415
Phone Number
440-749-6343
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
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