person
Michael Latrelle Jackson
Home Health Aide in Rock Hill, South Carolina
NPI 1942050059

Michael Latrelle Jackson is a Home Health Aide based in Rock Hill, SC. Michael Latrelle Jackson practices in Rock Hill, SC. The NPI Number for Michael Latrelle Jackson is 1942050059 and holds a License No. IHCP-2092 (South Carolina).

The current practice location address for Michael Latrelle Jackson is 1156 Bannockburn Ave, Rock Hill, SC and can be reached out via phone at 803-718-5292.

Location: 1156 Bannockburn Ave, Rock Hill, SC, 29732-1095
person
Provider Profile Details
NPI Number
1942050059
Provider Name
Michael Latrelle Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1156 Bannockburn Ave, Rock Hill, SC, 29732-1095
Phone Number
803-718-5292
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1156 Bannockburn Ave
City
State
Zip
29732-1095
Phone Number
803-718-5292
Fax Number
person
Provider Business Mailing Address Details
Address
1156 Bannockburn Ave
City
State
Zip
29732-1095
Phone Number
803-718-5292
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
License No.
IHCP-2092 (South Carolina)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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