Individual
KEONA MARIE JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6224 JANICE PL, DAYTON, OH 45415-1842
(937) 287-6272
Mailing address
6224 JANICE PL, DAYTON, OH 45415-1842
(937) 287-6272
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251E00000X
Home Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
11/18/2024
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