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Search › Ohio › Child Intellectual and/or Developmental Disabilities Respite Care

Jacob Gordon

NPI 1619793015 · on the registry since 2024 · sole proprietor

Practice

Address
1656 Canvasback Ln
Columbus, OH 43215
Phone
(419) 270-6893

Registry record

Primary taxonomy
Child Intellectual and/or Developmental Disabilities Respite Care
385HR2060X
Also registered as
Driver
Private Vehicle
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio