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Ms. Yamisha Jackson, CNA
Adult Companion in Detroit, Michigan
NPI 1386101574

Yamisha Jackson is an Adult Companion based in Detroit, MI. Yamisha Jackson practices in Detroit, MI and has the professional credentials of CNA. The NPI Number for Yamisha Jackson is 1386101574 and holds a License No. 230009497230504 (Michigan).

The current practice location address for Yamisha Jackson is 11611 Grayton St, Detroit, MI and can be reached out via phone at 313-556-4769 and via fax at 313-473-8192. You can also correspond with Yamisha Jackson through the mailing address at 7762 ROSEMONT AVE, DETROIT, MI - 48228-5426 (mailing address contact number: 313-658-6938).

Location: 11611 Grayton St, Detroit, MI, 48228-5426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386101574
Provider Name
Yamisha Jackson
Credential
CNA
Provider Entity Type
Individual
Gender
Female
Address
11611 Grayton St, Detroit, MI, 48228-5426
Phone Number
313-556-4769
Fax Number
313-473-8192
Provider Enumeration Date
02/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11611 Grayton St
City
Detroit
State
Michigan
Zip
48224-1643
Phone Number
313-556-4769
Fax Number
313-473-8192
person
Provider Business Mailing Address Details
Address
11611 Grayton St
City
Detroit
State
Michigan
Zip
48224-1643
Phone Number
313-556-4769
Fax Number
313-473-8192
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
230009497230504 (Michigan)
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
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