Jeanetta is a Adult Care Home in Warren, Ohio. Jeanetta practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Jeanetta is 1770606535. The last update date is 2020-08-22.
Jeanetta's current location address is 2784 Viola S.t S.w, Warren, Ohio. You can contact this provider via phone number 3308986413 and fax number 3308986414. The mailing address for Jeanetta is 2784 Viola S.t S.w, Warren, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jeanetta |
|---|---|
| Address | 2784 Viola S.t S.w, Warren, Ohio |
| Phone Number | 3308986413 |
| Fax Number | 3308986414 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CARE PROVI |
|---|---|
| Authorized Official Name | Chatmon Ann Jeanetta |
| Telephone Number | 3308986413 |
NPI Number Detail
| NPI Number | 1770606535 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2784 Viola S.t S.w |
|---|---|
| City | Warren |
| State | Ohio (OH) |
| Post Code | 44485 |
| Phone Number | 3308986413 |
| Fax Number | 3308986414 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
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Definition: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en |
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What is the Jeanetta's unique identification number?
The Jeanetta has been assigned the NPI (National Provider Identifier) Number 1770606535 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jeanetta?
The Jeanetta is situated at 2784 Viola S.T S.W, in the city of Warren, state of OH, with the zip code 44485.
What is the Jeanetta's specialty and taxonomy code?
The Jeanetta's specialty is Adult Care Home, and the corresponding taxonomy code is 311Za0620X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770606535 to Jeanetta?
The Jeanetta received its 1770606535 assignment from the Centers for Medicare & Medicaid Services on 2007-04-09.
When was the information regarding Jeanetta, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeanetta, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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