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Anita Jackson
NPI 1134699481 · on the registry since 2018 · sole proprietor
Practice
- Address
- 29 Baltimore Ln
Palm Coast, FL 32137 - Phone
- (386) 264-1398
- Fax
- (386) 303-5536
Registry record
- Primary taxonomy
- Home Health Agency
251E00000X
- Also registered as
- In Home Supportive Care Agency
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida