Kmjackson

NPI #1235809237 in Youngstown, Ohio

Provider Information

NPI Number: 1235809237
Entity Type: Organization
Organization Name: Kmjackson
Primary Specialty: Home Health Aide
Enumeration Date: Sep 20, 2021
Last Updated: Jan 2, 2024

Practice Location

Address: 2020 BROWNLEE AVE
City: Youngstown
State: Ohio
ZIP Code: 44514-1016
Phone: (330) 402-9641

Authorized Official

Name: KATHRYN JACKSON
Title: OWNER
Phone: (330) 402-9641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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