Individual
JIMMEL YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 CHATHAM WAY APT 526, MAYFIELD HTS, OH 44124-2065
(216) 635-8514
Mailing address
200 CHATHAM WAY APT 526, MAYFIELD HTS, OH 44124-2065
(216) 635-8514
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251X00000X
Supports Brokerage Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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