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Self Employee
Adult Care Home Facility in Dayton, Ohio
NPI 1669709606

Self Employee is an Adult Care Home Facility based in Dayton, OH and is specialized in Adult Care Home. Self Employee practices in Dayton, OH. The NPI Number for Self Employee is 1669709606 and holds a License No. PN134284IV (Ohio).

The current practice location address for Self Employee is 3053 Nicholas Rd, Dayton, OH and can be reached out via phone at 937-516-7887.

Location: 3053 Nicholas Rd, Dayton, OH, 45417-4322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669709606
Provider Name
Self Employee
Credential
Provider Entity Type
Organization
Address
3053 Nicholas Rd, Dayton, OH, 45417-4322
Phone Number
937-516-7887
Fax Number
Provider Enumeration Date
11/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3053 Nicholas Rd
City
Dayton
State
Ohio
Zip
45417-4322
Phone Number
937-516-7887
Fax Number
person
Provider Business Mailing Address Details
Address
3053 Nicholas Rd
City
Dayton
State
Ohio
Zip
45417-4322
Phone Number
937-516-7887
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
PN134284IV (Ohio)
Definition
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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