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Organization

JONA GROUP HOMES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY M NGANGA (DIRECTOR)
(978) 996-0635
Entity
Organization

Contact information

Practice address
17512 NE GLISAN ST, PORTLAND, OR 97230-6502
(978) 996-0635
(971) 407-3978
Mailing address
17512 NE GLISAN ST, PORTLAND, OR 97230-6502
(978) 996-0635
(971) 407-3978

Taxonomy

Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary

Other

Enumeration date
01/28/2022
Last updated
01/28/2022
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