IndividualActive
Gavin Dicke
NPI 1790676310 · In Home Supportive Care Agency · Mendon, OH
Provider details
- NPI number
- 1790676310
- Entity type
- Individual
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
10318 Neptune Mendon Rd
Mendon, OH 45862-9755
Phone: (567) 510-7109
Approximate (ZIP-level) locationGet directions
Mailing address
10318 Neptune Mendon Rd
Mendon, OH 45862-9755
Registry dates
- Enumerated
- 2025-07-11
- Last updated
- 2025-07-11
- Certified
- 2025-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.