Organization
PATRICE JONES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE JONES (LPN)
(440) 812-4878
Entity
Organization
Contact information
Practice address
5704 WASHINGTON BLVD, ASHTABULA, OH 44004-6450
(440) 812-4878
Mailing address
5704 WASHINGTON BLVD, ASHTABULA, OH 44004-6450
(440) 812-4878
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
PN-125152
OH
311500000X
Alzheimer Center (Dementia Center)
PN-125152
OH
311ZA0620X
Adult Care Home Facility
Primary
PN-125152
OH
313M00000X
Nursing Facility/Intermediate Care Facility
PN-125152
OH
314000000X
Skilled Nursing Facility
PN-125152
OH
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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