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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LATONIA T WALLACE

Active Sole Proprietor

LATONIA T WALLACE is a In Home Supportive Care Agency healthcare provider located in PATASKALA, Ohio. NPI 1770357733 is currently active in the NPPES registry. Verify at CMS.

In Home Supportive Care Agency · PATASKALA, OH

Registration Details

NPI Number
1770357733
Provider Type
Individual
Gender
Female
NPI Issued
Nov 9, 2023 (2.7584480540874 yrs)
Last Updated
Jul 31, 2024
Sole Proprietor
Yes

Practice Information

Address
577 STABLE ST
PATASKALA, OH, 430627066
Browse OH providers · Browse ZIP 43062
Phone
3809979972
Primary Specialty
In Home Supportive Care Agency
253Z00000X
Additional Specialty
Homemaker
Additional Specialty
Respite Care

Other In Home Supportive Care Agency Providers in PATASKALA, OH

Name Credential NPI
GOPAL KOIRALA 1063014504
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.