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Dr. Keith Jackson, PHD
Home Health Agency in Montgomery, Alabama
NPI 1407491673

Keith Jackson is a Home Health Agency based in Montgomery, AL. Keith Jackson practices in Montgomery, AL and has the professional credentials of PHD. The NPI Number for Keith Jackson is 1407491673 and holds a License No. (Alabama).

The current practice location address for Keith Jackson is 2934 Pelzer Ave, Montgomery, AL and can be reached out via phone at 334-354-4651.

Location: 2934 Pelzer Ave, Montgomery, AL, 36109-2147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407491673
Provider Name
Keith Jackson
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2934 Pelzer Ave, Montgomery, AL, 36109-2147
Phone Number
334-354-4651
Fax Number
Provider Enumeration Date
11/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2934 Pelzer Ave
City
Montgomery
State
Alabama
Zip
36109-2147
Phone Number
334-354-4651
Fax Number
person
Provider Business Mailing Address Details
Address
2934 Pelzer Ave
City
Montgomery
State
Alabama
Zip
36109-2147
Phone Number
334-354-4651
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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