TRACI WALLACE WALLACE

Adult Care Home Facility

NPI: 1891663860Individual

Specialties, Licenses & Credentials

Adult Care Home FacilityPrimary

Custodial Care Facility — Adult Care Home

Code: 311ZA0620X

Contact & Hours

Address: 6612 LOVELL CT
DAYTON, OH 45424
Phone: (937) 361-9726

Quick Facts

NPI: 1891663860
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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