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Mr. Robert Wallace Jackson JR.
In Home Supportive Care Agency in Marietta, Georgia
NPI 1932791993

Robert Wallace Jackson JR. is a In Home Supportive Care Agency based in Marietta, GA. Robert Wallace Jackson JR. practices in Marietta, GA. The NPI Number for Robert Wallace Jackson JR. is 1932791993 and holds a License No. PHCP010932 (Georgia).

The current practice location address for Robert Wallace Jackson JR. is 1355 Terrell Mill Rd Se Bldg 1462-125, Marietta, GA and can be reached out via phone at 470-632-7400 and via fax at 470-524-0500.

Location: 1355 Terrell Mill Rd Se Bldg 1462-125, Marietta, GA, 30067-5559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932791993
Provider Name
Robert Wallace Jackson JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1355 Terrell Mill Rd Se Bldg 1462-125, Marietta, GA, 30067-5559
Phone Number
470-632-7400
Fax Number
470-524-0500
Provider Enumeration Date
02/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1355 Terrell Mill Rd Se Bldg 1462-125
City
Marietta
State
Georgia
Zip
30067-5559
Phone Number
470-632-7400
Fax Number
470-524-0500
person
Provider Business Mailing Address Details
Address
1355 Terrell Mill Rd Se Bldg 1462-125
City
Marietta
State
Georgia
Zip
30067-5559
Phone Number
470-632-7400
Fax Number
470-524-0500
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
PHCP010932 (Georgia)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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