Organization
BEST CASE SCENARIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON DANIEL JONES (OWNER)
(304) 444-0132
Entity
Organization
Contact information
Practice address
6381 HEIZER CREEK RD, POCA, WV 25159-7468
(304) 444-0132
Mailing address
6381 HEIZER CREEK RD, POCA, WV 25159-7468
(304) 444-0132
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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