Amy Snedeker
Organization Active NPI Mental Illness Intermediate Care Facility · Bridgeport, OH
NPI 1891056750 · NPPES record last updated Jun 6, 2012
Key facts
- NPI
- 1891056750
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Intermediate Care Facility 310500000X
- License
- 320595 (OH)
- Legal business name
- AMY SNEDEKER
- Practice address
- 68181 Neola Avenue
Bridgeport, OH 43912 - Phone
- (740) 296-3099
- NPI assigned
- Jun 6, 2012
- Organization subpart
- No
Authorized official
- Name
- Amy Snedeker
- Title
- RN
- Phone
- (740) 296-3099
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Intermediate Care Facility | 310500000X | 320595 | OH | Yes |
Addresses
Primary practice location
68181 Neola Avenue
Bridgeport, OH 43912
Mailing address
68181 Neola Avenue
Bridgeport, OH 43912
Phone (740) 296-3099
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3100138 | Medicaid | OH |
Other providers in Bridgeport, OH
- Advanced Home Health, Inc.
- Kerry Alberts
- Hannah Bachie
- Olivia Becker
- Donna Sue Blaney
- Audrey Ann Bolin
- Kennedi Boone
All providers in Bridgeport, OH · Mental Illness Intermediate Care Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.