Organization
SELF-EMPLOYED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELMESHA JACKSON HOMEHEALTH (STNA)
(440) 251-9701
Entity
Organization
Contact information
Practice address
95B BARLEY DR, PAINESVILLE, OH 44077-5349
(440) 251-9701
Mailing address
95B BARLEY DR, PAINESVILLE, OH 44077-5349
(440) 251-9701
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
47
OH
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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