DAVIS JACKSON MEDICAL ASSIST TEAN LEE

SAINT PAUL, MN
NPI1114528973
Entity TypeOrganization
Authorized ContactFLORENSE MONIQUE DAVIS
President/Owner
651-595-5960
Organization Subpart ?No
Primary Taxonomy372600000X Adult Companion
Additional Taxonomies372500000X Chore Provider
373H00000X Day Training/Habilitation Specialist
3747P1801X Technician, Personal Care Attendant
376J00000X Homemaker
Enumeration Date2020-11-06
Last Update Date2020-11-06
Business Address
DAVIS JACKSON MEDICAL ASSIST TEAN LEE
6449 IPTH DR.
SAINT PAUL, MN 55725-1130
Phone number: 657-592-5960
Mailing Address
DAVIS JACKSON MEDICAL ASSIST TEAN LEE
1321 E. 78TH STREET APT. 114
BLOOMINGTON, MN 55425-1114
Phone number: 651-592-5960