Blakely, Jorden Deneil

Blakely, Jorden Deneil is an sole proprietor health care provider with primary practice located at 6805 Mayfield Rd Apt 606 , Mayfield Heights OH 44124-2252. He recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as his primary health care specialty. Blakely, Jorden Deneil can be contacted via phone (216) 801-5494.

Contact Information

Primary practice address
6805 Mayfield Rd Apt 606 Mayfield Heights OH 44124-2252
Phone: (216) 801-5494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1568171833
LBN Legal business name Blakely, Jorden Deneil
Credentials OWNER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2022
Last updated Nov 16th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568171833 NPPES
Ohio Other 92-0390919 HOMECARE

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