Organization
JIRA INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA GRIFFITH (DIRECTOR OF IT & REVENUE SYSTEMS)
(734) 414-9990
Entity
Organization
Contact information
Practice address
801 W ANN ARBOR TRL, SUITE 200, PLYMOUTH, MI 48170-1694
(734) 414-9990
Mailing address
119 S 570 W, HEBRON, IN 46341-9765
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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