Jacorie Davell Baker
Home Health Aide in Harker Heights, TX. Individual provider (NPI-1).
NPI number1164045431
StatusActive
Last updated in NPPESApr 7, 2021
Details
- NPI
- 1164045431
- Entity type
- Individual (NPI-1)
- Name
- Jacorie Davell Baker
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2020
- Certification date
- Mar 3, 2021
- Last updated
- Apr 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
107 E Bobwhite Ln Apt AHarker Heights, TX 76548-1284
Phone 318-587-0766
Mailing address
107 E Bobwhite Ln Apt AHarker Heights, TX 76548-1284
Phone 318-587-0766
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