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JODY STEVENS

Personal Care Attendant >> Technician >> Nursing Service Related Providers

Registrant NPI Number: 1013320944

Individual Registrant:
 JODY  STEVENS 
Gender: F
Sole Proprietor

Location and contact information for practice:
6460 KROFT RD  MOUNT PERRY, OH 43760-9707 US
Tel: 740-644-6958  Fax: --

Contact information for business:
6460 KROFT RD  MOUNT PERRY, OH 43760-9707 US
Tel: 740-644-6958  Fax: --

Registration Information:
NPI: 1013320944
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3747P1801XNursing Service Related Providers
Technician
Personal Care Attendant
OHRG136689
N376J00000XNursing Service Related Providers
Homemaker
OHRG136689

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LV10099693OH01
0099693OH05




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