Organization
JETLIFE WELLNESS CENTER
Active
Other names
Jetlife Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUISE M HENDERSON PROGRAM DIRECTOR (CASEMANAGEMENT)
(614) 599-6744
Entity
Organization
Contact information
Practice address
6411 LANERCOST RD, REYNOLDSBURG, OH 43068-3515
(614) 599-6744
Mailing address
6411 LANERCOST RD, REYNOLDSBURG, OH 43068-3515
(614) 599-6744
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/22/2025
Last updated
11/04/2025
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