Charles Dangelo Jackson

NPI #1003513599 in Trotwood, Ohio

Provider Information

NPI Number: 1003513599
Entity Type: Individual
Name: Charles Dangelo Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health
Enumeration Date: Feb 14, 2023
Last Updated: Feb 14, 2023

Practice Location

Address: 326 STUBBS DR
City: Trotwood
State: Ohio
ZIP Code: 45426-3109
Phone: (513) 328-5132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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