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Jackie Cervantes
Home Health Aide in Manchester, Ohio
NPI 1629197009

Jackie Cervantes is a Home Health Aide based in Manchester, OH. Jackie Cervantes practices in Manchester, OH. The NPI Number for Jackie Cervantes is 1629197009 and holds a License No. 2627456 (Ohio).

The current practice location address for Jackie Cervantes is 308 Jack Roush Way, Manchester, OH and can be reached out via phone at 937-549-8502.

Location: 308 Jack Roush Way, Manchester, OH, 45144-1423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629197009
Provider Name
Jackie Cervantes
Credential
Provider Entity Type
Individual
Gender
Female
Address
308 Jack Roush Way, Manchester, OH, 45144-1423
Phone Number
937-549-8502
Fax Number
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2627456 05 OH
institution
Provider Business Practice Location Address Details
Address
308 Jack Roush Way
City
Manchester
State
Ohio
Zip
45144-1423
Phone Number
937-549-8502
Fax Number
person
Provider Business Mailing Address Details
Address
308 Jack Roush Way
City
Manchester
State
Ohio
Zip
45144-1423
Phone Number
937-549-8502
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
2627456 (Ohio)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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