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Jarvis Mack
Respite Care in Louisville, Ohio
NPI 1598385718

Jarvis Mack is a Respite Care based in Louisville, OH. Jarvis Mack practices in Louisville, OH. The NPI Number for Jarvis Mack is 1598385718 and holds a License No. (Ohio).

The current practice location address for Jarvis Mack is 2105 Ashland St Apt B, Louisville, OH and can be reached out via phone at 330-356-2510. You can also correspond with Jarvis Mack through the mailing address at 2105 ASHLAND ST APT B, LOUISVILLE, OH - 44641-9032 (mailing address contact number: ).

Location: 2105 Ashland St Apt B, Louisville, OH, 44641-9032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598385718
Provider Name
Jarvis Mack
Credential
Provider Entity Type
Individual
Gender
Male
Address
2105 Ashland St Apt B, Louisville, OH, 44641-9032
Phone Number
330-356-2510
Fax Number
Provider Enumeration Date
04/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2105 Ashland St Apt B
City
Louisville
State
Ohio
Zip
44641-9032
Phone Number
330-356-2510
Fax Number
person
Provider Business Mailing Address Details
Address
2105 Ashland St Apt B
City
Louisville
State
Ohio
Zip
44641-9032
Phone Number
330-356-2510
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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