Organization
WYNN-REETH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARROD HUNT (CEO)
(419) 639-2094
Entity
Organization
Contact information
Practice address
137 SOUTH BROADWAY STREET, GREEN SPRINGS, OH 44836-0785
(419) 639-2094
(419) 639-2099
Mailing address
PO BOX 785, GREEN SPRINGS, OH 44836-0785
(419) 639-2094
(419) 639-2099
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
7200184
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0961544
—
OH
01
—
7200184
ODMRDD PROVIDER NUMBER
OH
Enumeration date
10/13/2006
Last updated
08/22/2020
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