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Jaidyn Marie Mavis, INDEPENDENTPROVIDER
Home Health Agency in Wapakoneta, Ohio
NPI 1063289528

Jaidyn Marie Mavis is a Home Health Agency based in Wapakoneta, OH. Jaidyn Marie Mavis practices in Wapakoneta, OH and has the professional credentials of INDEPENDENTPROVIDER. The NPI Number for Jaidyn Marie Mavis is 1063289528 and holds a License No. (Ohio).

The current practice location address for Jaidyn Marie Mavis is 612 Bellefontaine St, Wapakoneta, OH and can be reached out via phone at 567-356-9812.

Location: 612 Bellefontaine St, Wapakoneta, OH, 45895-2016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063289528
Provider Name
Jaidyn Marie Mavis
Credential
INDEPENDENTPROVIDER
Provider Entity Type
Individual
Gender
Female
Address
612 Bellefontaine St, Wapakoneta, OH, 45895-2016
Phone Number
567-356-9812
Fax Number
Provider Enumeration Date
12/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
612 Bellefontaine St
City
Wapakoneta
State
Ohio
Zip
45895-2016
Phone Number
567-356-9812
Fax Number
person
Provider Business Mailing Address Details
Address
612 Bellefontaine St
City
Wapakoneta
State
Ohio
Zip
45895-2016
Phone Number
567-356-9812
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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