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Jackie Teresa Clark
Homemaker in Ravenna, Ohio
NPI 1841888328

Jackie Teresa Clark is a Homemaker based in Ravenna, OH. Jackie Teresa Clark practices in Ravenna, OH. The NPI Number for Jackie Teresa Clark is 1841888328 and holds a License No. (Ohio).

The current practice location address for Jackie Teresa Clark is 2184 Roberts Journey, Ravenna, OH and can be reached out via phone at 330-937-5142. You can also correspond with Jackie Teresa Clark through the mailing address at 2184 ROBERTS JOURNEY, RAVENNA, OH - 44266-7810 (mailing address contact number: 330-937-5142).

Location: 2184 Roberts Journey, Ravenna, OH, 44266-7810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841888328
Provider Name
Jackie Teresa Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
2184 Roberts Journey, Ravenna, OH, 44266-7810
Phone Number
330-937-5142
Fax Number
Provider Enumeration Date
01/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2184 Roberts Journey
City
Ravenna
State
Ohio
Zip
44266-7810
Phone Number
330-937-5142
Fax Number
person
Provider Business Mailing Address Details
Address
2184 Roberts Journey
City
Ravenna
State
Ohio
Zip
44266-7810
Phone Number
330-937-5142
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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