Jackson, Latasha Marie

Jackson, Latasha Marie is an sole proprietor health care provider with primary practice located at 2259 Old Villa Rica Rd , Powder Springs GA 30127-1506. She recently has 5 registered licenses in different health care specialties including Transportation Services / Non-emergency Medical Transport (VAN), Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care, Nursing Service Related Providers / Adult Companion. Nursing Service Related Providers / Adult Companion is her primary health care specialty. Jackson, Latasha Marie can be contacted via phone (216) 507-8284.

Contact Information

Primary practice address
2259 Old Villa Rica Rd Powder Springs GA 30127-1506
Phone: (216) 507-8284
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Homemaker 376J00000X
Respite Care Facility / Respite Care 385H00000X
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1720868409
LBN Legal business name Jackson, Latasha Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2023
Last updated Oct 2nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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