Organization
JEWISH FAMILY SERVICE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA CAMERON (CFO / V.P.)
(216) 504-6408
Entity
Organization
Contact information
Practice address
29125 CHAGRIN BLVD., PEPPER PIKE, OH 44122-4622
(216) 292-3999
(216) 916-9126
Mailing address
29125 CHAGRIN BLVD., PEPPER PIKE, OH 44122-4622
(216) 504-6476
(216) 916-9147
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0574061
—
OH
05
—
0959566
—
OH
01
—
4618
OHIO MACSIS MEDICAID
OH
Enumeration date
11/17/2006
Last updated
10/07/2024
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