Individual
JESSICA PRICE-BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 CALHOUN ST, MOUNT VERNON, OH 43050-2009
(740) 705-2497
Mailing address
201 CALHOUN ST, MOUNT VERNON, OH 43050-2009
(740) 705-2497
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
TT475890
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0365772
—
OH
Enumeration date
09/24/2020
Last updated
09/24/2020
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