Organization · Type 2 NPI

Self Employee

Adult Care Home Facility · Dayton, OH

NPI number 1669709606 Active

Practice location

3053 Nicholas Rd
Dayton, OH 45417-4322

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XPN134284IV (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.

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About NPI 1669709606

Self Employee's National Provider Identifier is 1669709606, issued on Nov 12, 2009. 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 Mar 6, 2013.