| NPI | 1659186583 |
|---|---|
| Other Name | JAMONICA JACKSON |
| Entity Type | Organization |
| Authorized Contact | JAMONICA JACKSON Administrator 979-271-0672 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-08-10 |