Individual
LANEISE MARIE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5543 FISHER DR, HUBER HEIGHTS, OH 45424-5527
(937) 520-6579
Mailing address
5543 FISHER DR, HUBER HEIGHTS, OH 45424-5527
(937) 520-6579
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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