Individual
JACQUELYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14320 JAMES AVE, MAPLE HEIGHTS, OH 44137-4110
(216) 816-4576
Mailing address
14320 JAMES AVE, MAPLE HEIGHTS, OH 44137-4110
(216) 816-4576
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OH
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
06/12/2025
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