TRACI WALLACE WALLACE
Custodial Care Facility - Adult Care Home
Active
Individual
NPI: 1891663860
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Custodial Care Facility - Adult Care Home | 311ZA0620X | Yes | - |
Frequently Asked Questions
NPI 1891663860 is the National Provider Identifier for TRACI WALLACE WALLACE, a Custodial Care Facility - Adult Care Home provider located in Dayton, OH. This NPI was enumerated on October 29, 2025.
TRACI WALLACE WALLACE practices at 6612 LOVELL CT, Dayton, OH 45424.
Quick Facts
- NPI
- 1891663860
- Type
- Individual
- Enumerated
- Oct 29, 2025
- Last Updated
- Oct 29, 2025
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