Individual
JESSICA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4821 CARNOUSTIE CT, SUMMERVILLE, SC 29485-8974
(843) 324-3199
Mailing address
4821 CARNOUSTIE CT, SUMMERVILLE, SC 29485-8974
(843) 324-3199
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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