MEDICARE: VOWLINDA KATINA 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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	N20835007	MO

General Provider Information

NPI Number	:	1144110180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VOWLINDA KATINA JONES

Provider Business Mailing Address
First Line	:	543 SUMMER GLEN LN
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63301-3804
Country	:	US
Telephone Number	:	314-333-9055
Fax Number	:	314-333-9055

Provider Business Practice Location Address
First Line	:	543 SUMMER GLEN LN
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63301-3804
Country	:	US
Telephone Number	:	314-333-9055
Fax Number	:	314-333-9055

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

Provider Enumeration Date	:	07/09/2025
Last Update Date	:	12/31/2025

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