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Organization
JIRA, LLC
Active
Organization
JIRA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIN RUARK (MEMBER)
(734) 560-8956
Entity
Organization
Contact information
Practice address
4760 FASHION SQUARE BLVD, SAGINAW, MI 48604-2620
(989) 249-0241
(989) 249-0195
Mailing address
11373 WILLOW WOOD LN, PLYMOUTH, MI 48170-3593
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
10/09/2008
Last updated
03/29/2011
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