Individual
MARIYA JAKSTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2795 MULL AVE, COPLEY, OH 44321-2137
(440) 789-4151
Mailing address
2795 MULL AVE, COPLEY, OH 44321-2137
(440) 789-4151
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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