Provider Demographics
NPI:1720238934
Name:ZONDRA E JONES
Entity type:Organization
Organization Name:ZONDRA E JONES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZONDRA
Authorized Official - Middle Name:E
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-429-0025
Mailing Address - Street 1:9449 LACKLAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:OVERLAND
Mailing Address - State:MO
Mailing Address - Zip Code:63114-3633
Mailing Address - Country:US
Mailing Address - Phone:314-429-0025
Mailing Address - Fax:314-429-0026
Practice Address - Street 1:9449 LACKLAND RD
Practice Address - Street 2:
Practice Address - City:OVERLAND
Practice Address - State:MO
Practice Address - Zip Code:63114-3633
Practice Address - Country:US
Practice Address - Phone:314-429-0025
Practice Address - Fax:314-429-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health