Provider Demographics
NPI:1992576573
Name:RICHARDSON-JONES, SARA LOUISE
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:LOUISE
Last Name:RICHARDSON-JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOLLANSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45332-9751
Mailing Address - Country:US
Mailing Address - Phone:937-794-4630
Mailing Address - Fax:
Practice Address - Street 1:116 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HOLLANSBURG
Practice Address - State:OH
Practice Address - Zip Code:45332-9751
Practice Address - Country:US
Practice Address - Phone:937-794-4630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant