Latoria Nicole Jackson
NPI #1922500289 in Loganville, Georgia
Provider Information
- NPI Number
- 1922500289
- Entity Type
- Individual
- Name
- Latoria Nicole Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Mar 2, 2018
- Last Updated
- Mar 2, 2018
Practice Location
- Address
- 4150 ALEXIS CT
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-9070
- Phone
- (678) 671-0078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Case Management |
| Day Training, Developmentally Disabled Services |
| Community/Behavioral Health |
| Clinic/Center - Adult Day Care — Adult Day Care |
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
| Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Adult Companion |
| Day Training/Habilitation Specialist |
| Non-emergency Medical Transport (VAN) |
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