Organization
JASSIE LANE CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE OWENS (OWNER)
(440) 225-9718
Entity
Organization
Contact information
Practice address
112 S PARK ST, OBERLIN, OH 44074-1729
(440) 225-9718
Mailing address
112 S PARK ST, OBERLIN, OH 44074-1729
(440) 225-9718
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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