Individual
MISS HANNAH JORDAN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
337 GREAT OAKS TRL, WADSWORTH, OH 44281-9427
(330) 603-1506
Mailing address
337 GREAT OAKS TRL, WADSWORTH, OH 44281-9427
(330) 603-1506
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UM093265
—
OH
Enumeration date
12/16/2020
Last updated
12/16/2020
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