Individual
JADA MICHAELA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 E MARKET ST, LIMA, OH 45801-4535
(419) 222-4474
Mailing address
311 E MARKET ST, LIMA, OH 45801-4535
(419) 222-4474
(419) 222-7044
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J520357603957
STATE ID
MI
Enumeration date
05/16/2019
Last updated
05/16/2019
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