Carl'averis Jackson
Carl'averis Jackson is a Home Health Aide in Dayton, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1646 Wesleyan Rd # BDayton, OH 45406-3606
Phone: (937) 985-2275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|---|
| Home Health Aide | Taxonomy 374U00000X |
Record details
| NPI number | 1104419092 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 11, 2021 |
| Last updated in NPPES | February 11, 2021 |
| Certification date | February 11, 2021 |
| Mailing address | 1646 Wesleyan Rd # B, Dayton, OH 45406-3606 |
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