Boyce, Jaz Cicero Santana

Boyce, Jaz Cicero Santana is an sole proprietor health care provider with primary practice located at 3118 Houston Dr , Columbus OH 43207-3398. He recently has 4 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is his primary health care specialty. Boyce, Jaz Cicero Santana can be contacted via phone (614) 407-6352.

Contact Information

Primary practice address
3118 Houston Dr Columbus OH 43207-3398
Phone: (614) 407-6352
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1083067896
LBN Legal business name Boyce, Jaz Cicero Santana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2016
Last updated Jun 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers