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NPI Code Detail

MEDICARE: JOSIAH'S HOUSE INC.

MEDICARE: JOSIAH'S HOUSE INC.
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
1251C00000XDevelopmentally Disabled Services Day Training Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720355399
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSIAH'S HOUSE INC.
Provider Business Mailing Address
First Line : 981 KEYNOTE CIR STE 13
Second Line :
City : BROOKLYN HEIGHTS
State : OH
Zip : 44131-1842
Country : US
Telephone Number : 216-236-6960
Fax Number :
Provider Business Practice Location Address
First Line : 981 KEYNOTE CIR STE 13
Second Line :
City : BROOKLYN HEIGHTS
State : OH
Zip : 44131-1842
Country : US
Telephone Number : 216-236-6960
Fax Number :
Authorized Official
Title or Position : PRESIDENT/ FOUNDER
Name : IRENE B JONES
Credential :
Telephone Number : 216-236-6960
Provider Enumeration Date : 11/25/2011
Last Update Date : 11/25/2011

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Directions to “JOSIAH'S HOUSE INC. ” Practice Location

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