Individual
JIMICA D PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6837 BANTRY AVE, CINCINNATI, OH 45213-1164
(513) 780-4935
Mailing address
6837 BANTRY AVE, CINCINNATI, OH 45213-1164
(513) 780-4935
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
OH
376K00000X
Nurse's Aide
—
OH
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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