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.
Location: 2105 Ashland St Apt B, Louisville, OH, 44641-9032
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
Provider Business Practice Location Address Details
Address
2105 Ashland St Apt B
City
State
Zip
44641-9032
Phone Number
330-356-2510
Fax Number
Provider Business Mailing Address Details
Address
2105 Ashland St Apt B
City
State
Zip
44641-9032
Phone Number
330-356-2510
Fax Number
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come.
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
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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