Jermaine Jordan, STNA Valid NPI

Individual provider · Assisted Living Facility (Behavioral Disturbances) · Sanford, FL

NPI

1104368240

Type

Individual (Type 1)

Primary specialty

Assisted Living Facility (Behavioral Disturbances) (Assisted Living Facility)

Specialty group

Nursing & Custodial Care Facilities

Taxonomy code

3104A0630X

License number

CNA312402 (FL)

Sex

Male

Sole proprietor

Yes

Enumerated

2016-11-07

Last updated

2016-11-07