Individual
MS. JENNIFER BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 KETCHAM AVE, TOLEDO, OH 43608-2164
(419) 344-0772
Mailing address
615 2ND ST APT 3, BOWLING GREEN, OH 43402-4077
(419) 344-0772
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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