Individual
GLENDORA D. JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
428 N MCCORD RD, TOLEDO, OH 43615-4835
(419) 450-9943
Mailing address
PO BOX 352501, TOLEDO, OH 43635-2501
(419) 450-9943
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
OH
372600000X
Adult Companion
—
OH
3747A0650X
Attendant Care Provider
—
OH
3747P1801X
Personal Care Attendant
—
OH
374U00000X
Home Health Aide
—
OH
376J00000X
Homemaker
—
OH
376K00000X
Nurse's Aide
Primary
—
OH
Other
Enumeration date
11/04/2013
Last updated
05/18/2015
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