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Latavia Jackson
Personal Care Attendant in Shreveport, Louisiana
NPI 1700536380

Latavia Jackson is a Personal Care Attendant based in Shreveport, LA and is specialized in Personal Care Attendant. Latavia Jackson practices in Shreveport, LA. The NPI Number for Latavia Jackson is 1700536380 and holds a License No. 2203782259 (Louisiana).

The current practice location address for Latavia Jackson is 264 Wichita St, Shreveport, LA and can be reached out via phone at 318-254-3193. You can also correspond with Latavia Jackson through the mailing address at 264 WICHITA ST, SHREVEPORT, LA - 71101-4932 (mailing address contact number: 318-254-3193).

Location: 264 Wichita St, Shreveport, LA, 71101-4932
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700536380
Provider Name
Latavia Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
264 Wichita St, Shreveport, LA, 71101-4932
Phone Number
318-254-3193
Fax Number
Provider Enumeration Date
03/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
264 Wichita St
City
Shreveport
State
Louisiana
Zip
71101-4932
Phone Number
318-254-3193
Fax Number
person
Provider Business Mailing Address Details
Address
264 Wichita St
City
Shreveport
State
Louisiana
Zip
71101-4932
Phone Number
318-254-3193
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
2203782259 (Louisiana)
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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