Individual
ALLISSA RACHEL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
753 COLETTE DR APT B, AKRON, OH 44306-2286
(330) 414-7331
Mailing address
753 COLETTE DR APT B, AKRON, OH 44306-2286
(330) 414-7331
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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