Individual
MRS. JACLYN BURDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
970 BUTTONWOOD LN, BRUNSWICK, OH 44212-2436
(440) 226-1610
Mailing address
970 BUTTONWOOD LN, BRUNSWICK, OH 44212-2436
(440) 226-1610
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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