Serafimov, Jordan Marie
Serafimov, Jordan Marie is an sole proprietor health care provider with primary practice located at 7612 Daytona St Nw , Massillon OH 44646-2326. She recently has 4 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Adult Day Care, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Serafimov, Jordan Marie can be contacted via phone (330) 495-7777.Contact Information
Primary practice address
7612 Daytona St Nw
Massillon OH 44646-2326
Phone: (330) 495-7777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X | ||
| Ambulatory Health Care Facilities / Adult Day Care | 261QA0600X | ||
| Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X | ||
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1194430389 |
|---|---|
| LBN Legal business name | Serafimov, Jordan Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2023 |
| Last updated | Jan 23rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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