Organization
JEREMIAHS CORNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BENNETT M.ED. (CEO)
(614) 721-4422
Entity
Organization
Contact information
Practice address
170 NORTHWOODS BLVD STE 210, COLUMBUS, OH 43235-4711
(614) 721-4422
Mailing address
170 NORTHWOODS BLVD STE 210, COLUMBUS, OH 43235-4711
(614) 721-4422
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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