Mary Ann Wallace

NPI #1124172036 in Dayton, Ohio

Provider Information

NPI Number
1124172036
Entity Type
Organization
Organization Name
Mary Ann Wallace
Primary Specialty
Home Delivered Meals
Enumeration Date
Jan 22, 2007
Last Updated
Jul 15, 2008

Practice Location

Address
900 TROY STREET
City
Dayton
State
Ohio
ZIP Code
45404
Phone
(937) 443-0405

Authorized Official

Name
MRS. MARY ANN WALLACE
Title
CEO OWNER OPERATOR
Phone
(937) 443-0405

Specialties & Taxonomy Codes

Specialty
Home Delivered Meals

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