Individual ProviderEthan JonesSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1085 Maple St, Farmington, MO 63640-1955(573) 705-6263(314) 206-3700PECOS EnrollmentBased on the most recent information from CMS, provider Ethan Jones does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:13 AM.Profile DetailsProvider ID1417725110Provider TypeIndividualFull NameJones, EthanGenderMaleSole ProprietorNoEnumeration Date12/13/2023Last Updated12/13/2023Contact InformationPractice LocationPractice Address1085 Maple St, Farmington, MO 63640-1955Phone(573) 705-6263FaxUnlisted FaxMailing LocationMailing Address3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101Phone(314) 206-3700FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer