Individual
FELICIA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2949 VAN AKEN BLVD, APT.1, SHAKER HEIGHTS, OH 44120-2279
(216) 556-3138
Mailing address
2949 VAN AKEN BLVD, APT.1, SHAKER HEIGHTS, OH 44120-2279
(216) 556-3138
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
154274
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154274
OHIO STATE INDEPENDENT PROVIDER
OH
Enumeration date
10/26/2015
Last updated
10/26/2015
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