Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BODI GRAYSON WALLACE
Active Sole ProprietorBODI GRAYSON WALLACE is a Homemaker healthcare provider located in SOUTH BLOOMFIELD, Ohio. NPI 1609624881 is currently active in the NPPES registry. Verify at CMS.
Homemaker · SOUTH BLOOMFIELD, OH
Registration Details
- NPI Number
- 1609624881
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2024 (2.2736610750452 yrs)
- Last Updated
- May 11, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
5408 MORNING GLORY STSOUTH BLOOMFIELD, OH, 431033518Browse OH providers · Browse ZIP 43103
- Phone
- 7404976108
- Primary Specialty
-
Homemaker
376J00000X
Other Homemaker Providers in SOUTH BLOOMFIELD, OH
| Name | Credential | NPI |
|---|---|---|
| LISA MARIE MCDORMAN | — | 1295412518 |
| ABIGAIL MARIE BYERLY | — | 1235811191 |
| CIERRA MICHELLE GILMORE | — | 1114784923 |
| MS. KATELIN MARIE WALLACE | — | 1740040435 |
| SHEILA ANN WALLACE | — | 1164282851 |
| SAMUEL JACOB GILMORE | — | 1669225629 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.