Individual
CHARNIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4326 N 52ND ST APT 2, OMAHA, NE 68104-2870
(531) 721-5823
Mailing address
4326 N 52ND ST APT 2, OMAHA, NE 68104-2870
(531) 721-5823
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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