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NPI Code Detail

MEDICARE: CANDACE JONES

MEDICARE: CANDACE 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
1374U00000XHome Health Aide
2376K00000XNurse's Aide
3372500000XChore Provider
4372600000XAdult Companion

General Provider Information

NPI Number : 1659122992
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDACE JONES
Provider Business Mailing Address
First Line : 2227 ACE AVE UNIT 9
Second Line :
City : BROOKINGS
State : SD
Zip : 57006-7304
Country : US
Telephone Number : 616-719-6372
Fax Number :
Provider Business Practice Location Address
First Line : 1230 PROSPECT AVE SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49507-1704
Country : US
Telephone Number : 616-719-6372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2024
Last Update Date : 03/27/2024

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Directions to “ CANDACE JONES ” Practice Location

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