Jackson, Latasha

Jackson, Latasha is an sole proprietor health care provider with primary practice located at 3831 Sw 31St Ct , West Park FL 33023-5744. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Meals, Suppliers / Home Delivered Meals, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Homemaker, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is her primary health care specialty. Jackson, Latasha can be contacted via phone (754) 230-2585.

Contact Information

Primary practice address
3831 Sw 31St Ct West Park FL 33023-5744
Phone: (754) 230-2585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Meals 174200000X
Suppliers / Home Delivered Meals 332U00000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Homemaker 376J00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1902532179
LBN Legal business name Jackson, Latasha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2022
Last updated Jul 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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