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Judy L Jackson
Personal Care Attendant in Shade, Ohio
NPI 1396334660

Judy L Jackson is a Personal Care Attendant based in Shade, OH and is specialized in Personal Care Attendant. Judy L Jackson practices in Shade, OH. The NPI Number for Judy L Jackson is 1396334660 and holds a License No. (Ohio).

The current practice location address for Judy L Jackson is 40326 State Route 681, Shade, OH and can be reached out via phone at 740-992-1797.

Location: 40326 State Route 681, Shade, OH, 45776-9518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396334660
Provider Name
Judy L Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
40326 State Route 681, Shade, OH, 45776-9518
Phone Number
740-992-1797
Fax Number
Provider Enumeration Date
01/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
40326 State Route 681
City
Shade
State
Ohio
Zip
45776-9518
Phone Number
740-992-1797
Fax Number
person
Provider Business Mailing Address Details
Address
40326 State Route 681
City
Shade
State
Ohio
Zip
45776-9518
Phone Number
740-992-1797
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
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
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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