OrganizationActive
Davis Jackson Medical Assist Tean Lee
NPI 1114528973 · Adult Companion · Saint Paul, MN
Provider details
- NPI number
- 1114528973
- Entity type
- Organization
- Primary specialty
- Adult CompanionNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Florense Davis, President/Owner(651) 595-5960
Specialties & taxonomies
Nursing Service Related Providers
- Chore Provider372500000X
Nursing Service Related Providers
- Day Training/Habilitation Specialist373H00000X
Nursing Service Related Providers
- Personal Care Attendant3747P1801X
Nursing Service Related Providers
- Homemaker376J00000X
Nursing Service Related Providers
Practice location
6449 Ipth Dr.
Saint Paul, MN 55725-1130
Phone: (657) 592-5960
Fax: (651) 286-2994
Approximate (ZIP-level) locationGet directions
Mailing address
1321 E. 78th Street Apt. 114
Bloomington, MN 55425-1114
Registry dates
- Enumerated
- 2020-11-06
- Last updated
- 2020-11-06
- Certified
- 2020-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.