Individual
GLORIA J JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
571 E 107TH ST, CLEVELAND, OH 44108-1431
(440) 554-2156
(216) 278-7058
Mailing address
2313 LEE RD STE 414, CLEVELAND HTS, OH 44118-3427
(216) 278-7058
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
OH
372600000X
Adult Companion
—
OH
3747P1801X
Personal Care Attendant
—
OH
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
OH
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500585
—
OH
01
—
1832266
DODD CONTRACT NUMBER
OH
Enumeration date
02/28/2023
Last updated
05/21/2025
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