Provider Demographics
NPI:1538337605
Name:JONES UNIQUE GROUP HOME INC.
Entity type:Organization
Organization Name:JONES UNIQUE GROUP HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALIA
Authorized Official - Middle Name:OLIVE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-306-8629
Mailing Address - Street 1:7540 NW 14TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-5934
Mailing Address - Country:US
Mailing Address - Phone:954-306-8629
Mailing Address - Fax:
Practice Address - Street 1:7540 NW 14TH ST
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-5934
Practice Address - Country:US
Practice Address - Phone:954-306-8629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities