MEDICARE: MAURICE JONES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1639816127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURICE JONES

Provider Business Mailing Address
First Line	:	5620 LANSING DR
Second Line	:
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748-4006
Country	:	US
Telephone Number	:	202-819-9706
Fax Number	:

Provider Business Practice Location Address
First Line	:	3534 E CAPITOL ST NE APT 408
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-1226
Country	:	US
Telephone Number	:	202-819-9706
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2022
Last Update Date	:	05/16/2022

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Directions to “ MAURICE JONES ” Practice Location

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