Individual
MARCUS D JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1039 WAGNER AVE, PHILADELPHIA, PA 19141-2927
(267) 596-5857
Mailing address
1039 WAGNER AVE, PHILADELPHIA, PA 19141-2927
(267) 596-5857
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
51483601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038429400001
—
PA
Enumeration date
11/02/2021
Last updated
11/08/2021
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