Jaz Cicero Santana Boyce
Jaz Cicero Santana Boyce is a Physical Disabilities Residential Treatment Facility in Columbus, Ohio. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 4
Practice location Address checks out
3118 Houston DrColumbus, OH 43207-3398
Phone: (614) 407-6352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2167 Mock Rd, Columbus, OH 43219-1284 — (614) 407-6352
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|---|
| Physical Disabilities Residential Treatment Facility | Taxonomy 320700000X |
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X |
| Emotionally Disturbed Childrens' Residential Treatment Facility | Taxonomy 322D00000X |
Record details
| NPI number | 1083067896 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 16, 2016 |
| Last updated in NPPES | June 6, 2023 |
| Certification date | June 6, 2023 |
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