Individual
JENELLE BACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 STATE ROUTE 49, FORT RECOVERY, OH 45846-9583
(419) 852-0130
Mailing address
1510 STATE ROUTE 49, FORT RECOVERY, OH 45846-9583
(419) 852-0130
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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