Individual
MR. ANTHONY JORDAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PERSONAL CHEF
Contact information
Practice address
4657 KIRBY AVE APT 2, CINCINNATI, OH 45223-1521
(513) 746-8233
Mailing address
4657 KIRBY AVE APT 2, CINCINNATI, OH 45223-1521
(513) 746-8233
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
RC420468
OH
174200000X
Meals Provider
Primary
—
OH
174200000X
Meals Provider
—
—
332U00000X
Home Delivered Meals
—
OH
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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