Individual
JASMAINE S KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14617 WHEELER RD, MAPLE HEIGHTS, OH 44137-4036
(216) 356-0789
Mailing address
14617 WHEELER RD, MAPLE HEIGHTS, OH 44137-4036
(216) 356-0789
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445381
—
OH
01
—
1831880
DODD
OH
Enumeration date
12/21/2021
Last updated
12/21/2021
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