Individual
JORDAN MARIE SERAFIMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7612 DAYTONA ST NW, MASSILLON, OH 44646-2326
(330) 495-7777
Mailing address
7612 DAYTONA ST NW, MASSILLON, OH 44646-2326
(330) 495-7777
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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