Organization
A PLUS ALLIANCE HOME CARE AGENCY, LLC
Active
Other names
Latasha Walters Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA WALTERS JACKSON (EXECUTIVE DIRECTOR)
(727) 222-5317
Entity
Organization
Contact information
Practice address
1503 SOUTH HWY 301 SUITE 13, TAMPA, FL 33619
(727) 222-5317
(813) 762-1333
Mailing address
5470 E BUSCH BLVD SUITE 425, TEMPLE TERRACE, FL 33617
(727) 222-5317
(813) 762-1333
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
233771
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014399800
—
FL
Enumeration date
06/11/2015
Last updated
04/12/2020
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