Individual
MISS TAYLOR ANNE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18617 ALEXANDER RD, WALTON HILLS, OH 44146-5322
(724) 996-2290
Mailing address
11311 HESSLER RD, CLEVELAND, OH 44106-3972
(724) 996-2290
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
376J00000X
Homemaker
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000272281
—
OH
Enumeration date
12/15/2020
Last updated
12/15/2020
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