Individual provider · Type 1 NPI
Traci Wallace L. Wallace
Adult Care Home Facility · Dayton, OH
NPI number
1891663860
Active
Practice location
6612 Lovell Ct
Dayton, OH 45424-7120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
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.
Another provider at this address
Other adult care home facility providers in Dayton
About NPI 1891663860
Traci Wallace L. Wallace's National Provider Identifier is 1891663860, issued on Oct 29, 2025. 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 Oct 29, 2025.