Individual
MRS. CHARITY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
677 WESTWOOD AVE, JACKSON, TN 38301-4230
(615) 802-2846
Mailing address
PO BOX 10504, JACKSON, TN 38308-0108
(615) 802-2846
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
TN
311ZA0620X
Adult Care Home Facility
Primary
—
TN
343900000X
Non-emergency Medical Transport (VAN)
—
TN
347C00000X
Private Vehicle
—
TN
372600000X
Adult Companion
—
TN
3747A0650X
Attendant Care Provider
—
TN
3747P1801X
Personal Care Attendant
—
TN
374U00000X
Home Health Aide
—
TN
376J00000X
Homemaker
—
TN
376K00000X
Nurse's Aide
—
TN
385H00000X
Respite Care
—
TN
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
TN
Other
Enumeration date
08/28/2020
Last updated
09/09/2020
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