Individual provider · Type 1 NPI
Justin Wade Jordan
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Eaton, OH
Practice location
343 Eaton Lewisburg Rd Apt C
Eaton, OH 45320-1158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1689573305
Justin Wade Jordan's National Provider Identifier is 1689573305, issued on Nov 2, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Eaton, OH. The record was last updated on Nov 2, 2026.