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MISS TAYLOR ANNE JACKSON
Personal Care Attendant >> Technician >> Nursing Service Related ProvidersRegistrant NPI Number: 1891381745
Individual Registrant:MISS TAYLOR ANNE JACKSON
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
18617 ALEXANDER RD WALTON HILLS, OH 44146-5322 US
Tel: 724-996-2290 Fax: --
Tel: 724-996-2290 Fax: --
Contact information for business:
11311 HESSLER RD CLEVELAND, OH 44106-3972 US
Tel: 724-996-2290 Fax: --
Tel: 724-996-2290 Fax: --
Registration Information:
NPI: 1891381745
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 3747P1801X | Nursing Service Related Providers Technician Personal Care Attendant | OH | |
| N | 376J00000X | Nursing Service Related Providers Homemaker | OH |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0000272281 | OH | 05 |
