Most Relevant Information
Provider Data
| NPI Number: | 1003300021 |
| Provider Name: | PATRICIA G JORDAN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/22/2018 |
| Last Updated: | 06/22/2018 |
Provider Practice Location
1501 MADISON RD
WALNUT HILLS
OH
452061706
Practice Location Phone/Fax
| Phone: | 5133545200 |
| Fax: | 5133547115 |
Provider Mailing Location
1501 MADISON RD
WALNUT HILLS
OH
452061706
Provider Mailing Phone/Fax
| Phone: | 5133545200 |
| Fax: | 5133547115 |