Jacquelyn N Wise
Jacquelyn N Wise is a Supports Brokerage Agency in Medina, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 15
Practice location Address checks out
250 Guilford BlvdMedina, OH 44256-2135
Phone: (330) 590-7034
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Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|---|
| Supports Brokerage Agency | Taxonomy 251X00000X |
| In Home Supportive Care Agency | Taxonomy 253Z00000X |
| Private Vehicle | Taxonomy 347C00000X |
| Adult Companion | Taxonomy 372600000X |
| Adult Day Care Clinic/Center | Taxonomy 261QA0600X |
| Non-emergency Medical Transport (VAN) | Taxonomy 343900000X |
| Intellectual & Developmental Disabilities Psychologist | Taxonomy 103TM1800X |
| Professional Counselor | Taxonomy 101YP2500X |
| Nutritionist | Taxonomy 133N00000X |
| Driver | Taxonomy 172A00000X |
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X |
| Home Health Aide | Taxonomy 374U00000X |
| Child Mental Illness Respite Care | Taxonomy 385HR2055X |
| Child Intellectual and/or Developmental Disabilities Respite Care | Taxonomy 385HR2060X |
Record details
| NPI number | 1215757208 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 14, 2024 |
| Last updated in NPPES | October 14, 2024 |
| Certification date | October 14, 2024 |
| Mailing address | 250 Guilford Blvd, Medina, OH 44256-2135 |
Other providers in Medina
-
Richard L Moore
5000 Gateway Dr Ste 213, Medina, OH 44256 · (330) 461-1164