Organization
JERRY'S SOUTHERN HOME COOKING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN THOMPSON (OWNER)
(330) 425-1217
Entity
Organization
Contact information
Practice address
2800 EUCLID AVE STE 150, CLEVELAND, OH 44115-2430
(216) 785-7530
Mailing address
2951 STEFFAN WOODS DR, TWINSBURG, OH 44087-3342
(216) 785-7530
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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