MEDICARE: MR. ROBERT D 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	251C00000X	Developmentally Disabled Services Day Training Agency		OH

General Provider Information

NPI Number	:	1457167447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT D JONES

Provider Business Mailing Address
First Line	:	5213 CATHERINE ST
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-1405
Country	:	US
Telephone Number	:	216-270-9927
Fax Number	:

Provider Business Practice Location Address
First Line	:	5213 CATHERINE ST
Second Line	:
City	:	MAPLE HEIGHTS
State	:	OH
Zip	:	44137-1405
Country	:	US
Telephone Number	:	216-270-9927
Fax Number	:

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

Provider Enumeration Date	:	12/05/2024
Last Update Date	:	12/05/2024

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Directions to “ MR. ROBERT D JONES ” Practice Location

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