IndividualActive
Abosede Jackson
NPI 1033940499 · Home Health Agency · Garland, TX
Provider details
- NPI number
- 1033940499
- Entity type
- Individual
- Primary specialty
- Home Health AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Practice location
5009 Peninsula Way Apt 2202
Garland, TX 75043-4249
Phone: (214) 530-7936
Mailing address
5009 Peninsula Way Apt 2202
Garland, TX 75043-4249
Registry dates
- Enumerated
- 2024-08-08
- Last updated
- 2024-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.