Individual
JEANNINE ROUGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5861 WOODHILL STREET EXT, PAINESVILLE, OH 44077-5176
(216) 559-3897
Mailing address
5861 WOODHILL STREET EXT, PAINESVILLE, OH 44077-5176
(216) 559-3897
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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