# LARHONDA JACKSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1548135205
- **Gender:** F
- **Credential:** CNA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | GA | Yes |
| 385H00000X | Respite Care | — | GA | — |
| 385HR2055X | Child Mental Illness Respite Care | — | GA | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | GA | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | GA | — |

## Other

- **Enumeration date:** 10/10/2025
- **Last updated:** 10/24/2025