Individual provider · Type 1 NPI

Cortez Jones Sr.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Akron, OH

NPI number 1174127260 Active

Practice location

470 White Pond Dr Ste 400
Akron, OH 44320-1185

Fax (330) 294-2025

Specialties and licenses

TaxonomyCodeLicense
Non-emergency Medical Transport (VAN) 343900000X7718054 (OH)
Home Health Aide 374U00000X7718054 (OH)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X7718054 (OH)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1174127260

Cortez Jones Sr.'s National Provider Identifier is 1174127260, issued on Nov 30, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Akron, OH. The record was last updated on Nov 30, 2020.