Billy Jerome Jackson
Billy Jerome Jackson is a Personal Care Attendant in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address checks out
3225 Amanda DrDayton, OH 45406-1102
Phone: (937) 789-6646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence RQ788849 (OH) |
|---|---|
| Personal Care Attendant | Taxonomy 3747P1801X (OH) |
| Homemaker | Taxonomy 376J00000X (OH) |
Record details
| NPI number | 1487242400 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 5, 2021 |
| Last updated in NPPES | January 5, 2021 |
| Certification date | January 5, 2021 |
| Mailing address | 3225 Amanda Dr, Dayton, OH 45406-1102 |
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