Individual
CHANTE L JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12705 YORK BLVD, GARFIELD HTS, OH 44125-4007
(216) 820-5360
Mailing address
12705 YORK BLVD, GARFIELD HTS, OH 44125-4007
(216) 820-5360
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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