Individual
JEREMY WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
46562 MAIN ST, JACOBSBURG, OH 43933-9783
(614) 940-6125
Mailing address
46562 MAIN ST, JACOBSBURG, OH 43933-9783
(614) 940-6125
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0702061
DEPARTMENT OF DEVELOPMENTAL DISABILITIES
OH
Enumeration date
12/30/2020
Last updated
12/30/2020
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