Individual
MCKENZIE ANIESE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
426 COVE HARBOUR DR W, HOLLAND, OH 43528-8019
(419) 276-9126
Mailing address
426 COVE HARBOUR DR W, HOLLAND, OH 43528-8019
(419) 276-9126
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OH
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
11/10/2025
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