NPI 1972256170
Jona Group Homes LLC
Practice location
- Address
- 17512 NE Glisan St, Portland, OR 97230-6502
- Phone
- (978) 996-0635
- Fax
- (971) 407-3978
Authorised official
- Name
- Nancy M Nganga
- Title
- Director
- Phone
- (978) 996-0635
Registered specialties
PACE Provider Organization
Primary
Registry record
- NPI
- 1972256170
- Entity type
- Organization
- NPI issued
- 28 Jan 2022
- Record last updated
- 28 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.