Organization
CNS PERSONAL SERVICE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMANIL JONES SR. (OWNER)
(219) 750-1200
Entity
Organization
Contact information
Practice address
5209 HOHMAN AVE, HAMMOND, IN 46320-1719
(219) 750-1200
(219) 720-1211
Mailing address
6124 NOBLE AVE, HAMMOND, IN 46320-2641
(219) 750-1200
(219) 750-1211
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
110126561
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-012656-1
INDIANA STATE DEPARTMENT OF HEALTH
IN
Enumeration date
08/26/2011
Last updated
08/26/2011
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