Mary A. Dick

Individual provider Active NPI Developmentally Disabled Services Day Training Agency · Plain City, OH

NPI 1154065811 · NPPES record last updated Apr 27, 2022

Key facts

NPI
1154065811
Entity type
Individual (NPI type 1)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Practice address
15190 Robinson Rd
Plain City, OH 43064-8930
Phone
(614) 771-9161
NPI assigned
Apr 27, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Yes

Addresses

Primary practice location

15190 Robinson Rd
Plain City, OH 43064-8930

Mailing address

15190 Robinson Rd
Plain City, OH 43064-8930
Phone (614) 771-9161

Other providers in Plain City, OH

All providers in Plain City, OH · Developmentally Disabled Services Day Training Agency in Ohio

Sources for this page

Verify at the official NPI Registry.