Marcus Dior Jackson
In Home Supportive Care in Washington, DC. Individual provider (NPI-1).
NPI number1124523899
StatusActive
Last updated in NPPESMar 26, 2018
Details
- NPI
- 1124523899
- Entity type
- Individual (NPI-1)
- Name
- Mr. Marcus Dior Jackson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 26, 2018
- Last updated
- Mar 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
1913 Tremont St SeWashington, DC 20020-7604
Phone 202-294-9212
Mailing address
1913 Tremont St SeWashington, DC 20020-7604
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