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Organization
JEANETTA
Active
Organization
JEANETTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANETTA ANN CHATMON I (CARE PROVIDER)
(330) 898-6413
Entity
Organization
Contact information
Practice address
2784 VIOLA ST SW, WARREN, OH 44485-3343
(330) 898-6413
(330) 898-6417
Mailing address
2784 VIOLA S.T S.W, WARREN, OH 44485
(330) 898-6413
(330) 898-6414
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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