Anita Dionne Jackson
Anita Dionne Jackson is an In Home Supportive Care Agency in Palm Coast, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
29 Baltimore LnPalm Coast, FL 32137-8851
Phone: (386) 264-1398
Fax: (386) 303-5536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X · Licence 30212414 (FL) |
|---|---|
| In Home Supportive Care Agency | Taxonomy 253Z00000X (FL) |
Record details
| NPI number | 1134699481 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 29, 2018 |
| Last updated in NPPES | July 12, 2022 |
| Certification date | July 12, 2022 |
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