Individual
JASMINE GANAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16781 CHAGRIN BLVD APT 159, SHAKER HEIGHTS, OH 44120-3721
(216) 379-4704
(216) 379-4704
Mailing address
16781 CHAGRIN BLVD APT 159, SHAKER HEIGHTS, OH 44120-3721
(216) 379-4704
(216) 379-4704
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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