# JIRA INDIANA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205071974
- **Authorized official:** TINA GRIFFITH (DIRECTOR OF IT & REVENUE SYSTEMS)
- **Authorized official phone:** (734) 414-9990

## Contact information

- **Practice address:** 801 W ANN ARBOR TRL, SUITE 200, PLYMOUTH, MI 48170-1694
- **Practice address phone:** (734) 414-9990
- **Mailing address:** 119 S 570 W, HEBRON, IN 46341-9765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/10/2008
- **Last updated:** 12/10/2008