Tedra Jackson
Tedra Jackson is a Developmentally Disabled Services Day Training Agency in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2025
- Specialties on file
- 5
Practice location Address checks out
782 E 130th StCleveland, OH 44108-2544
Phone: (216) 334-3163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X (OH) |
|---|---|
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X (OH) |
| Supports Brokerage Agency | Taxonomy 251X00000X (OH) |
| In Home Supportive Care Agency | Taxonomy 253Z00000X (OH) |
| Home Delivered Meals | Taxonomy 332U00000X (OH) |
Record details
| NPI number | 1255211447 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 8, 2025 |
| Last updated in NPPES | September 8, 2025 |
| Certification date | September 7, 2025 |
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