Individual provider · Type 1 NPI

Gavin Jacob Dicke

In Home Supportive Care Agency · Mendon, OH

NPI number 1790676310 Active

Practice location

10318 Neptune Mendon Rd
Mendon, OH 45862-9755

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency Primary 253Z00000XNone listed

In Home Supportive Care Agency: An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medicatio…

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About NPI 1790676310

Gavin Jacob Dicke's National Provider Identifier is 1790676310, issued on Jul 11, 2025. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in Mendon, OH. The record was last updated on Jul 11, 2025.