Organization
MAMMJA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANENE NMN GIBSON RN (ASSOC. DIRECTOR)
(513) 307-5683
Entity
Organization
Contact information
Practice address
9945 COVENTRY CT, MASON, OH 45040-9537
(513) 307-5683
Mailing address
9378 S MASON MONTGOMERY RD, MASON, OH 45040-8827
(513) 307-5683
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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