Individual
JEANETTE HOLLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4868 WILLOW SPRINGS DR, LIBERTY TWP, OH 45011-7587
(513) 509-1646
Mailing address
4868 WILLOW SPRINGS DR, LIBERTY TWP, OH 45011-7587
(513) 509-1646
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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