Anthonie Jackson
NPI 1083438709 · on the registry since 2024
Practice
- Address
- 1470 E 173rd St
Cleveland, OH 44110 - Phone
- (216) 466-1379
- Organisation at this address
- Kompanion Homes Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Homemaker
376J00000X
- Sex
- Male
- Record last updated
- 2024-11-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio