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Reginald D Jackson
Attendant Care Provider in Lafayette, Louisiana
NPI 1558041491

Reginald D Jackson is an Attendant Care Provider based in Lafayette, LA and is specialized in Attendant Care Provider. Reginald D Jackson practices in Lafayette, LA. The NPI Number for Reginald D Jackson is 1558041491 and holds a License No. (Louisiana).

The current practice location address for Reginald D Jackson is 515 S College Rd, Lafayette, LA and can be reached out via phone at 337-269-1165.

Location: 515 S College Rd, Lafayette, LA, 70503-3352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558041491
Provider Name
Reginald D Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
515 S College Rd, Lafayette, LA, 70503-3352
Phone Number
337-269-1165
Fax Number
Provider Enumeration Date
07/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
515 S College Rd
City
Lafayette
State
Louisiana
Zip
70503-3352
Phone Number
337-269-1165
Fax Number
person
Provider Business Mailing Address Details
Address
515 S College Rd
City
Lafayette
State
Louisiana
Zip
70503-3352
Phone Number
337-269-1165
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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