Individual
JERMAINE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STNA
Contact information
Practice address
1210 RETREAT VIEW CIR, SANFORD, FL 32771-7276
(216) 772-9101
Mailing address
1210 RETREAT VIEW CIR, SANFORD, FL 32771-7276
(216) 772-9101
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
CNA312402
FL
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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