Individual
MRS. JONELYN HUTCHINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5628 FOX HOLLOW CT, SYLVANIA, OH 43560
(419) 270-0778
Mailing address
5628 FOX HOLLOW CT, SYLVANIA, OH 43560
(419) 270-0778
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103127027399
—
OH
01
—
4805376
DODD
OH
Enumeration date
10/07/2020
Last updated
10/07/2020
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