Individual
JEANNETTE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4172 E 187TH ST, CLEVELAND, OH 44122-6954
(216) 372-5214
Mailing address
4149 EASTWOOD LN, WARRENSVILLE HEIGHTS, OH 44122-7039
(216) 372-5214
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
171R00000X
Interpreter
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
OH
373H00000X
Day Training/Habilitation Specialist
Primary
—
OH
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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