Individual
BOBBY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23700 RUSHMORE DR, RICHMOND HEIGHTS, OH 44143-2565
(216) 990-1484
Mailing address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 953-9999
(440) 918-3839
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
09/22/2023
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