Mr. Antwain Jackson
Mr. Antwain Jackson is an Adult Companion in Decatur, Alabama. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1711 10th Ave SEDecatur, AL 35601-4915
Phone: (256) 226-0150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Day Training/Habilitation Specialist (primary) | Taxonomy 373H00000X |
|---|---|
| Adult Companion | Taxonomy 372600000X |
Record details
| NPI number | 1063096147 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 5, 2021 |
| Last updated in NPPES | May 5, 2021 |
| Certification date | April 30, 2021 |
| Mailing address | 1711 10th Ave Se, Decatur, AL 35601-4915 |
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