Individual
CANDES RENEE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, CMA
Contact information
Practice address
221 HIGHLAND VILLAGE DR # 221, MESQUITE, TX 75149-2487
(214) 541-7515
Mailing address
221 HIGHLAND VILLAGE DR # 221, MESQUITE, TX 75149-2487
(214) 541-7515
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171W00000X
Contractor
—
—
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
332U00000X
Home Delivered Meals
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
NA0008761095
TX
385H00000X
Respite Care
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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