Individual
JASMINE RENA BILLINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1720 E 230TH ST, EUCLID, OH 44117-2017
(216) 456-5143
Mailing address
1720 E 230TH ST, EUCLID, OH 44117-2017
(216) 456-5143
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
400943840709
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0378220
—
OH
Enumeration date
06/10/2020
Last updated
06/10/2020
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