Individual
MRS. JINI REBECCA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
7352 NORTHQUAY CT, HOLLAND, OH 43528-7706
(419) 410-9423
Mailing address
7352 NORTHQUAY CT, HOLLAND, OH 43528-7706
(419) 410-9423
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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