Michael Latrelle Jackson
Michael Latrelle Jackson is a Home Health Aide in Rock Hill, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.
- Licensed in
- SC
- In the registry since
- 2024
Practice location Address checks out
1156 Bannockburn AveRock Hill, SC 29732-1095
Phone: (803) 718-5292
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X · Licence IHCP-2092 (SC) |
|---|
Record details
| NPI number | 1942050059 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 25, 2024 |
| Last updated in NPPES | May 20, 2024 |
| Certification date | May 20, 2024 |
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