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Individual

JONATHAN JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1339 SOUTHEAST AVE, TALLMADGE, OH 44278-3162
(330) 634-5184
Mailing address
1339 SOUTHEAST AVE, TALLMADGE, OH 44278-3162

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
Primary

Other

Enumeration date
03/25/2022
Last updated
03/25/2022
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