Jackson, Tamika
Jackson, Tamika is an sole proprietor health care provider with primary practice located at 24123 Greenfield Rd # 311207 , Southfield MI 48075-3125. She recently has 6 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Adult Day Care, Nursing & Custodial Care Facilities / Adult Care Home, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Jackson, Tamika can be contacted via phone (313) 457-4114.Contact Information
Primary practice address
24123 Greenfield Rd # 311207
Southfield MI 48075-3125
Phone: (313) 457-4114
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | ||
| Agencies / In Home Supportive Care | 253Z00000X | ||
| Ambulatory Health Care Facilities / Adult Day Care | 261QA0600X | ||
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | ||
| Nursing Service Related Providers / Chore Provider | 372500000X | ||
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1003668203 |
|---|---|
| LBN Legal business name | Jackson, Tamika |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2024 |
| Last updated | Apr 2nd, 2024 - about 2 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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