Organization
AMY SNEDEKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SNEDEKER (RN)
(740) 296-3099
Entity
Organization
Contact information
Practice address
68181 NEOLA AVENUE, BRIDGEPORT, OH 43912
(740) 296-3099
Mailing address
68181 NEOLA AVENUE, BRIDGEPORT, OH 43912
(740) 296-3099
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
320595
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3100138
—
OH
Enumeration date
06/06/2012
Last updated
06/06/2012
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