MEDICARE: FAITH JONES & ASSOCIATES, 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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1700296027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAITH JONES & ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	7801 MISSION CENTER CT
Second Line	:	SUITE 106
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1313
Country	:	US
Telephone Number	:	619-297-9601
Fax Number	:	619-297-4225

Provider Business Practice Location Address
First Line	:	7801 MISSION CENTER CT
Second Line	:	SUITE 106
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1313
Country	:	US
Telephone Number	:	619-297-9601
Fax Number	:	619-297-4225

Authorized Official
Title or Position	:	OWNER
Name	:	FAITH R JONES
Credential	:	R.N., B.S.N.
Telephone Number	:	619-297-9601

Provider Enumeration Date	:	05/08/2014
Last Update Date	:	05/08/2014

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1962613547 — FAITH JONES & ASSOCIATES
Practice Location Address:

7801 MISSION CENTER CT , SUITE #106
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Practice Phone: 619-297-9601
Practice Fax: 619-297-4225

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