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Jonathan Brown

In Home Supportive Care in Canton, OH. Individual provider (NPI-1).

NPI number1053781815
StatusActive
Last updated in NPPESJan 13, 2025

Details

NPI
1053781815
Entity type
Individual (NPI-1)
Name
Jonathan Brown
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 5, 2015
Certification date
Jan 13, 2025
Last updated
Jan 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
374U00000X Home Health Aide0500686OH

Practice location

907 Tuscarawas St E
Canton, OH 44707-3152

Phone 330-546-0804

Mailing address

907 Tuscarawas St E
Canton, OH 44707-3152

Phone 330-546-0804

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