Organization
JENNA SPENCER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA SPENCER (AIDE)
(740) 466-9682
Entity
Organization
Contact information
Practice address
2266 JOSH WARD RD, SUMMERVILLE, GA 30747-5532
(740) 466-9682
Mailing address
2266 JOSH WARD RD, SUMMERVILLE, GA 30747-5532
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059516
—
OH
01
—
360784969
AREA OF AGING
OH
Enumeration date
04/15/2016
Last updated
04/15/2016
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