IndividualActive
Latasha Jackson
NPI 1720868409 · Adult Companion · Powder Springs, GA
Provider details
- NPI number
- 1720868409
- Entity type
- Individual
- Primary specialty
- Adult CompanionNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
- Chore Provider372500000X
Nursing Service Related Providers
- Homemaker376J00000X
Nursing Service Related Providers
- Respite Care385H00000X
Respite Care Facility
Practice location
2259 Old Villa Rica Rd
Powder Springs, GA 30127-1506
Phone: (216) 507-8284
Approximate (ZIP-level) locationGet directions
Mailing address
2259 Old Villa Rica Rd
Powder Springs, GA 30127-1506
Registry dates
- Enumerated
- 2023-10-02
- Last updated
- 2023-10-02
- Certified
- 2023-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.