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Kim Jackson
Attendant Care Provider in Grovetown, Georgia
NPI 1689269243

Kim Jackson is an Attendant Care Provider based in Grovetown, GA and is specialized in Attendant Care Provider. Kim Jackson practices in Grovetown, GA. The NPI Number for Kim Jackson is 1689269243 and holds a License No. (Georgia).

The current practice location address for Kim Jackson is 1264 Newmantown Rd, Grovetown, GA and can be reached out via phone at 706-833-6879.

Location: 1264 Newmantown Rd, Grovetown, GA, 30813-3610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689269243
Provider Name
Kim Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1264 Newmantown Rd, Grovetown, GA, 30813-3610
Phone Number
706-833-6879
Fax Number
Provider Enumeration Date
03/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1264 Newmantown Rd
City
Grovetown
State
Georgia
Zip
30813-3610
Phone Number
706-833-6879
Fax Number
person
Provider Business Mailing Address Details
Address
1264 Newmantown Rd
City
Grovetown
State
Georgia
Zip
30813-3610
Phone Number
706-833-6879
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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