Individual
JACQUELINE M HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
523 TOWNSHIP ROAD 2102, LOUDONVILLE, OH 44842-9632
(419) 606-5125
Mailing address
523 TOWNSHIP ROAD 2102, LOUDONVILLE, OH 44842-9632
(419) 606-5125
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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