Individual
JORDAN BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 E 45TH ST STE 116, CLEVELAND, OH 44127-1094
(216) 526-1600
Mailing address
20829 MILLER AVE, CLEVELAND, OH 44119-2318
(440) 840-6200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
OH
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/06/2022
Last updated
11/01/2024
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