Jacob Gordon

NPI #1619793015 in Columbus, Ohio

Provider Information

NPI Number
1619793015
Entity Type
Individual
Name
Jacob Gordon
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date
Dec 2, 2024
Last Updated
Dec 2, 2024

Practice Location

Address
1656 CANVASBACK LN
State
Ohio
ZIP Code
43215-7023
Phone
(419) 270-6893

Specialties & Taxonomy Codes

Specialty
Driver
Private Vehicle
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, ChildRespite Care, Intellectual and/or Developmental Disabilities, Child

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