Viney Jackson
Viney Jackson is a Personal Care Attendant in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
6901 Loma Vista DrFort Worth, TX 76133-6428
Phone: (682) 253-4807
Fax: (682) 224-2997
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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 · Licence 20201004P (TX) |
|---|---|
| Attendant Care Provider | Taxonomy 3747A0650X |
Record details
| NPI number | 1548843527 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 28, 2021 |
| Last updated in NPPES | April 28, 2021 |
| Certification date | March 24, 2021 |
| Mailing address | 3701 Altamesa Blvd # 331652, Fort Worth, TX 76133-5649 |
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