Individual
JENESSEE ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
199 GREENBRIAR DR, AURORA, OH 44202-9206
(330) 861-9493
Mailing address
199 GREENBRIAR DR, AURORA, OH 44202-9206
(330) 861-9493
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
OH
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
OH
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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