1659555407 OHIO MEDICAID PROVIDER

Adult Care Home Facility

Active

Basic Information

Organization Name
OHIO MEDICAID PROVIDER
Enumeration Date
December 27, 2007
Last Update
December 27, 2007
Authorized Official
SAUNDRA LEE BALLARD LPN
LPN
Phone: (937) 479-1676

Practice Location

Address
322 ALBERS AVE
DAYTON, OH 454271703
Phone
(937) 479-1676

Mailing Address

Address
322 ALBERS AVE
DAYTON, OH 454271703
Phone
N/A

Specialties & Taxonomies

Specialty Code Classification License State Primary
Adult Care Home Facility
Adult Care Home
311ZA0620X Custodial Care Facility PN0830007 OH Primary

Other Identifiers

Identifier Type State Issuer
2516950 05 OH N/A

Frequently Asked Questions

What is OHIO MEDICAID PROVIDER's NPI number?
OHIO MEDICAID PROVIDER's NPI number is 1659555407.
Which doctor has NPI number 1659555407?
The doctor with NPI number 1659555407 is OHIO MEDICAID PROVIDER.
What is OHIO MEDICAID PROVIDER's practice address?
OHIO MEDICAID PROVIDER's practice address is 322 ALBERS AVE, DAYTON, OH, 454271703.
Which doctor practices at 322 ALBERS AVE, DAYTON, OH, 454271703?
OHIO MEDICAID PROVIDER practices at 322 ALBERS AVE, DAYTON, OH, 454271703.
What is OHIO MEDICAID PROVIDER's phone number?
OHIO MEDICAID PROVIDER's phone number is (937) 479-1676.
Who is (937) 479-1676?
(937) 479-1676 is the phone number for OHIO MEDICAID PROVIDER.
What is OHIO MEDICAID PROVIDER's specialty?
OHIO MEDICAID PROVIDER's specialty is Adult Care Home Facility.
What type of doctor is OHIO MEDICAID PROVIDER?
OHIO MEDICAID PROVIDER is a Adult Care Home Facility.
Is OHIO MEDICAID PROVIDER a Adult Care Home?
Yes, OHIO MEDICAID PROVIDER is a Adult Care Home.
Is OHIO MEDICAID PROVIDER still practicing?
Yes, OHIO MEDICAID PROVIDER is currently practicing.
Is OHIO MEDICAID PROVIDER accepting new patients?
OHIO MEDICAID PROVIDER may be accepting new patients. Please call their office at (937) 479-1676 to inquire about availability.
Is NPI 1659555407 still active?
Yes, NPI 1659555407 is currently active.
Where does OHIO MEDICAID PROVIDER practice?
OHIO MEDICAID PROVIDER practices in DAYTON, OH.