# JENNA SPENCER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457705436
- **Authorized official:** JENNA SPENCER (AIDE)
- **Authorized official phone:** (740) 466-9682

## Contact information

- **Practice address:** 2266 JOSH WARD RD, SUMMERVILLE, GA 30747-5532
- **Practice address phone:** (740) 466-9682
- **Mailing address:** 2266 JOSH WARD RD, SUMMERVILLE, GA 30747-5532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | OH | Yes |

## Other

- **Enumeration date:** 04/15/2016
- **Last updated:** 04/15/2016
