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Mr. Tracy Jackson
Home Health Agency in Royersford, Pennsylvania
NPI 1497323695

Tracy Jackson is a Home Health Agency based in Royersford, PA. Tracy Jackson practices in Royersford, PA. The NPI Number for Tracy Jackson is 1497323695 and holds a License No. 1038809410001 (Pennsylvania).

The current practice location address for Tracy Jackson is 151 Knock Hill Dr, Royersford, PA and can be reached out via phone at 484-213-5437.

Location: 151 Knock Hill Dr, Royersford, PA, 19468-3493
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497323695
Provider Name
Tracy Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
151 Knock Hill Dr, Royersford, PA, 19468-3493
Phone Number
484-213-5437
Fax Number
Provider Enumeration Date
06/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1038809410001 01 PA PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES
institution
Provider Business Practice Location Address Details
Address
151 Knock Hill Dr
City
Royersford
State
Pennsylvania
Zip
19468-3493
Phone Number
484-213-5437
Fax Number
person
Provider Business Mailing Address Details
Address
151 Knock Hill Dr
City
Royersford
State
Pennsylvania
Zip
19468-3493
Phone Number
484-213-5437
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
1038809410001 (Pennsylvania)
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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