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Mr. Virgil Alothin Jackson
Home Health Agency in Fort Pierce, Florida
NPI 1568825727

Virgil Alothin Jackson is a Home Health Agency based in Fort Pierce, FL. Virgil Alothin Jackson practices in Fort Pierce, FL. The NPI Number for Virgil Alothin Jackson is 1568825727 and holds a License No. 251EOOOOOX (Florida).

The current practice location address for Virgil Alothin Jackson is 4003 Avenue M, Fort Pierce, FL and can be reached out via phone at 772-359-3127.

Location: 4003 Avenue M, Fort Pierce, FL, 34947-1865
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568825727
Provider Name
Virgil Alothin Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
4003 Avenue M, Fort Pierce, FL, 34947-1865
Phone Number
772-359-3127
Fax Number
Provider Enumeration Date
04/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4003 Avenue M
City
Fort Pierce
State
Florida
Zip
34947-1865
Phone Number
772-359-3127
Fax Number
person
Provider Business Mailing Address Details
Address
4003 Avenue M
City
Fort Pierce
State
Florida
Zip
34947-1865
Phone Number
772-359-3127
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
251EOOOOOX (Florida)
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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