AMELIA JACKSON

DEARBORN, MI
NPI1134549751
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
(Licence: MI  E4197J)
Additional Taxonomies372600000X Adult Companion
(Licence: MI  E4197J)
376K00000X Nurse's Aide
(Licence: MI  E4197J)
Enumeration Date2014-04-22
Last Update Date2014-04-22
Business Address
-- AMELIA JACKSON
23636 MICHIGAN AVE # 487
DEARBORN, MI 48124-1910
Phone number: 419-788-1199
Mailing Address
-- AMELIA JACKSON
23636 MICHIGAN AVE # 487
DEARBORN, MI 48124-1910
Phone number: 419-788-1199