Mary Jackson I

NPI #1013331586 in Winthrop, Maine

Provider Information

NPI Number: 1013331586
Entity Type: Individual
Name: Mary Jackson I
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician - Personal Care Attendant
Enumeration Date: Feb 4, 2014
Last Updated: Feb 4, 2014

Practice Location

Address: 555 OLD LEWISTON RD
City: Winthrop
State: Maine
ZIP Code: 04364-4112
Phone: (207) 446-3215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X
Adult Companion	372600000X
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X	Primary
Homemaker	376J00000X

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