# A PLUS ALLIANCE HOME CARE AGENCY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Latasha Walters Jackson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962883371
- **Authorized official:** LATASHA WALTERS JACKSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (727) 222-5317

## Contact information

- **Practice address:** 1503 SOUTH HWY 301 SUITE 13, TAMPA, FL 33619
- **Practice address phone:** (727) 222-5317
- **Practice address fax:** (813) 762-1333
- **Mailing address:** 5470 E BUSCH BLVD SUITE 425, TEMPLE TERRACE, FL 33617
- **Mailing address phone:** (727) 222-5317
- **Mailing address fax:** (813) 762-1333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | 233771 | FL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 06/11/2015
- **Last updated:** 04/12/2020