Provider Demographics
NPI:1235959743
Name:MAROUN, JANE MARIE
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:MARIE
Last Name:MAROUN
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 1:355 SOLON RD APT 401
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-3358
Mailing Address - Country:US
Mailing Address - Phone:440-773-7310
Mailing Address - Fax:
Practice Address - Street 1:355 SOLON RD APT 401
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-3358
Practice Address - Country:US
Practice Address - Phone:440-773-7310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant