Davis Jackson Medical Assist Tean Lee
NPI #1114528973 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1114528973
- Entity Type
- Organization
- Organization Name
- Davis Jackson Medical Assist Tean Lee
- Primary Specialty
- Adult Companion
- Enumeration Date
- Nov 6, 2020
- Last Updated
- Nov 6, 2020
Practice Location
- Address
- 6449 IPTH DR.
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55725-1130
- Phone
- (657) 592-5960
Authorized Official
- Name
- MS. FLORENSE MONIQUE DAVIS, CNA
- Title
- PRESIDENT/OWNER
- Phone
- (651) 595-5960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chore Provider |
| Day Training/Habilitation Specialist |
| Technician - Personal Care Attendant — Personal Care Attendant |
| Homemaker |
| Adult Companion |
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