Sade A Jackson
Technician, Personal Care Attendant in Charleston, WV. Individual provider (NPI-1).
NPI number1184239261
StatusActive
Last updated in NPPESDec 16, 2022
Details
- NPI
- 1184239261
- Entity type
- Individual (NPI-1)
- Name
- Sade A Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2020
- Certification date
- Dec 16, 2022
- Last updated
- Dec 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
713 Orchard StCharleston, WV 25302-2517
Phone 304-964-0170
Mailing address
713 Orchard StCharleston, WV 25302-2517
Phone 304-964-0170
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All 2,938 Personal Care Attendant providers in Charleston · All 9,831 providers in Charleston
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