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Organization

DIVINE ESSENCE ABUNDANCE HOME CARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JERRIKA S JACKSON (AGENCY OWNER/ DIRECTOR OF OPERATION)
(418) 509-2867
Entity
Organization

Contact information

Practice address
1811 NORTH REYNOLDS UNIT 101-A, TOLEDO, OH 43615
(567) 277-2729
Mailing address
1811 N REYNOLDS RD STE 101A, TOLEDO, OH 43615-3533
(419) 509-2867

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0484848
OH
Enumeration date
10/12/2022
Last updated
04/14/2026
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