Individual
CORETTA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
901 S 3RD ST, MCGEHEE, AR 71654-2563
(870) 222-3806
(870) 222-3984
Mailing address
PO BOX 351, MCGEHEE, AR 71654-0351
(870) 222-3806
(870) 222-3984
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
058628920598E
AR
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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