Individual provider · Type 1 NPI

Summer Star Wallace

Personal Care Attendant · Stout, OH

NPI number 1629956396 Active

Practice location

544 W Fork Rd
Stout, OH 45684-9654

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant Primary 3747P1801XNone listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

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About NPI 1629956396

Summer Star Wallace's National Provider Identifier is 1629956396, issued on Aug 21, 2025. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Stout, OH. The record was last updated on Aug 21, 2025.