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Renetia Jackson
Attendant Care Provider in Farmington, Minnesota
NPI 1932758158

Renetia Jackson is an Attendant Care Provider based in Farmington, MN and is specialized in Attendant Care Provider. Renetia Jackson practices in Farmington, MN. The NPI Number for Renetia Jackson is 1932758158 and holds a License No. (Minnesota).

The current practice location address for Renetia Jackson is 1210 Spruce Street, Farmington, MN and can be reached out via phone at 612-702-8541.

Location: 1210 Spruce Street, Farmington, MN, 55024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932758158
Provider Name
Renetia Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1210 Spruce Street, Farmington, MN, 55024
Phone Number
612-702-8541
Fax Number
Provider Enumeration Date
09/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1210 Spruce Street
City
Farmington
State
Minnesota
Zip
55024
Phone Number
612-702-8541
Fax Number
person
Provider Business Mailing Address Details
Address
1210 Spruce Street
City
Farmington
State
Minnesota
Zip
55024
Phone Number
612-702-8541
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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