Provider Demographics
NPI:1770669509
Name:MS JADES CLOSET BY JANET INC
Entity Type:Organization
Organization Name:MS JADES CLOSET BY JANET INC
Other - Org Name:MS JADES CLOSET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:P
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-548-9181
Mailing Address - Street 1:1200 MELBOURNE
Mailing Address - Street 2:
Mailing Address - City:E CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112
Mailing Address - Country:US
Mailing Address - Phone:216-548-9181
Mailing Address - Fax:216-268-1672
Practice Address - Street 1:1200 MELBOURNE RD
Practice Address - Street 2:
Practice Address - City:E CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112
Practice Address - Country:US
Practice Address - Phone:216-548-9181
Practice Address - Fax:216-268-1672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies