KIMIKA M JACKSON

COLUMBUS, OH
NPI1386136497
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy253Z00000X In Home Supportive Care
Additional Taxonomies261QD1600X Clinic/Center, Developmental Disabilities
376J00000X Homemaker
252Y00000X Early Intervention Provider Agency
251E00000X Home Health
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
385H00000X Respite Care
374U00000X Home Health Aide
343900000X Non-emergency Medical Transport (VAN)
261QA0600X Clinic/Center, Adult Day Care
175T00000X Peer Specialist
(Licence: OH  FPS.000303)
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date2018-06-04
Last Update Date2025-09-03
Business Address
KIMIKA M JACKSON
1661 ALPINE DR
COLUMBUS, OH 43229-2162
Phone number: 614-778-0815
Mailing Address
KIMIKA M JACKSON
1661 ALPINE DR
COLUMBUS, OH 43229-2162
Phone number: 614-778-0815