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Organization
ASSISTED CARE BY BLACK STONE OF DAYTON, LLC
Active
Organization
ASSISTED CARE BY BLACK STONE OF DAYTON, LLC
Active
Other names
Home Care by Black Stone
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
580 LINCOLN PARK BLVD STE 101, KETTERING, OH 45429-3493
(937) 643-2422
(937) 643-2415
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 442-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/09/2010
Last updated
06/25/2024
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