Individual
BARBARA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7807 SHADOWHILL WAY, MONTGOMERY, OH 45242-3101
(614) 937-6646
Mailing address
264 FOX RIDGE CIR, POWELL, OH 43065-9486
(614) 937-8646
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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