Individual
LATONGYA ROSE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
231 GLENMERE WAY, TOLEDO, OH 43615-5205
(419) 917-9235
Mailing address
231 GLENMERE WAY, TOLEDO, OH 43615-5205
(419) 917-9235
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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