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Alice Jackson
Attendant Care Provider in Moreland, Georgia
NPI 1366090813

Alice Jackson is an Attendant Care Provider based in Moreland, GA and is specialized in Attendant Care Provider. Alice Jackson practices in Moreland, GA. The NPI Number for Alice Jackson is 1366090813 and holds a License No. (Georgia).

The current practice location address for Alice Jackson is 1389 Gordon Rd, Moreland, GA and can be reached out via phone at 770-251-8209.

Location: 1389 Gordon Rd, Moreland, GA, 30259-2541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366090813
Provider Name
Alice Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1389 Gordon Rd, Moreland, GA, 30259-2541
Phone Number
770-251-8209
Fax Number
Provider Enumeration Date
08/28/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000000 01 DEPARTMENT OF VA AFFAIRS
institution
Provider Business Practice Location Address Details
Address
1389 Gordon Rd
City
Moreland
State
Georgia
Zip
30259-2541
Phone Number
770-251-8209
Fax Number
person
Provider Business Mailing Address Details
Address
1389 Gordon Rd
City
Moreland
State
Georgia
Zip
30259-2541
Phone Number
770-251-8209
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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