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Organization

REWIRED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. REBECCA J PETREY B.ED., M-ED.CI, C/AO (OWNER)
(740) 915-7323
Entity
Organization

Contact information

Practice address
616 HEBRON RD STE E, HEATH, OH 43056-1444
(740) 915-7323
Mailing address
616 HEBRON RD STE E, HEATH, OH 43056-1444
(740) 915-7323

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3747A0650X
Attendant Care Provider
374U00000X
Home Health Aide

Other

Enumeration date
10/20/2017
Last updated
10/26/2020
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