# JIRA, LLC

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

## Provider details

- **NPI number:** 1770734618
- **Authorized official:** JAMIN RUARK (MEMBER)
- **Authorized official phone:** (734) 560-8956

## Contact information

- **Practice address:** 4760 FASHION SQUARE BLVD, SAGINAW, MI 48604-2620
- **Practice address phone:** (989) 249-0241
- **Practice address fax:** (989) 249-0195
- **Mailing address:** 11373 WILLOW WOOD LN, PLYMOUTH, MI 48170-3593

## Taxonomy

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

## Other

- **Enumeration date:** 10/09/2008
- **Last updated:** 03/29/2011