Individual
JENNIFER N HARDACRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1536 N HAMPTON RD, NEW CARLISLE, OH 45344-9166
(937) 605-6184
Mailing address
1536 N HAMPTON RD, NEW CARLISLE, OH 45344-9166
(937) 605-6184
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
OH
343900000X
Non-emergency Medical Transport (VAN)
—
OH
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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