Jarvis Mack
Jarvis Mack is a Child Intellectual and/or Developmental Disabilities Respite Care in Louisville, Ohio. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
2105 Ashland St Apt BLouisville, OH 44641-9032
Phone: (330) 356-2510
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Specialties & licences
| Respite Care (primary) | Taxonomy 385H00000X |
|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | Taxonomy 385HR2060X |
Record details
| NPI number | 1598385718 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 17, 2020 |
| Last updated in NPPES | November 6, 2023 |
| Certification date | November 6, 2023 |
| Mailing address | 2105 Ashland St Apt B, Louisville, OH 44641-9032 |
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