Provider Demographics
NPI:1346570488
Name:TWO WOMEN AND A MOP CLEANING SERVICES L.L.C.
Entity Type:Organization
Organization Name:TWO WOMEN AND A MOP CLEANING SERVICES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-291-0930
Mailing Address - Street 1:6403 KINDRED SQ
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-3521
Mailing Address - Country:US
Mailing Address - Phone:937-291-0930
Mailing Address - Fax:937-291-0930
Practice Address - Street 1:6403 KINDRED SQ
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45449-3521
Practice Address - Country:US
Practice Address - Phone:937-291-0930
Practice Address - Fax:937-291-0930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care