Organization · Type 2 NPI
Ohio Medicaid Provider
Adult Care Home Facility · Dayton, OH
NPI number
1659555407
Active
Practice location
322 Albers Ave
Dayton, OH 45427-1703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | PN0830007 (OH) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Dayton
About NPI 1659555407
Ohio Medicaid Provider's National Provider Identifier is 1659555407, issued on Dec 27, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Dayton, OH. The record was last updated on Dec 27, 2007.