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NPI Code Detail

MEDICARE: MRS. BARBARA CARLYNE JORDON

MEDICARE:  MRS. BARBARA CARLYNE JORDON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253J00000XFoster Care AgencyCF380209709MI

General Provider Information

NPI Number : 1750618815
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA CARLYNE JORDON
Provider Business Mailing Address
First Line : 7340 MCCAIN RD
Second Line :
City : PARMA
State : MI
Zip : 49269-9711
Country : US
Telephone Number : 517-750-1444
Fax Number :
Provider Business Practice Location Address
First Line : 7340 MCCAIN RD
Second Line :
City : PARMA
State : MI
Zip : 49269-9711
Country : US
Telephone Number : 517-750-1444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2009
Last Update Date : 11/11/2009

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Directions to “ MRS. BARBARA CARLYNE JORDON ” Practice Location

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