Individual
MORYA KOQUESE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9550 FOREST LN STE 310, DALLAS, TX 75243-5906
(214) 337-9436
(214) 337-9542
Mailing address
9550 FOREST LN STE 310, DALLAS, TX 75243-5906
(214) 785-2388
(214) 377-9542
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/26/2018
Last updated
07/27/2020
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