Individual
JORDAN STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10549 TOWNSHIP ROAD 59, DE GRAFF, OH 43318-9780
(740) 513-6082
Mailing address
309 MITCHELLE AVE., MOUNT VERNON, OH 43050
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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