Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gavin Jacob Dicke

Individual provider In Home Supportive Care Agency · NPI 1790676310

Gavin Jacob Dicke is an In Home Supportive Care Agency in Mendon, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025
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Practice location Address checks out

10318 Neptune Mendon Rd
Mendon, OH 45862-9755
Phone: (567) 510-7109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X (OH)

Record details

NPI number1790676310
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 11, 2025
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

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