Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACI WALLACE L WALLACE
Active Sole ProprietorTRACI WALLACE L WALLACE is a Assisted Living Facility healthcare provider located in DAYTON, Ohio. NPI 1891663860 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · DAYTON, OH
Registration Details
- NPI Number
- 1891663860
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2025 (0.81326060554978 yrs)
- Last Updated
- Oct 29, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
6612 LOVELL CTDAYTON, OH, 454247120Browse OH providers · Browse ZIP 45424
- Phone
- 9373619726
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
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.