# TENNYSON HEALTH CARE SERVICES INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134646110
- **Authorized official:** MRS. SUSIE E DIBO NGALLE BSDH, RDH (PRESIDENT/CEO)
- **Authorized official phone:** (937) 212-9834

## Contact information

- **Practice address:** 6520 POE AVE STE 170, DAYTON, OH 45414-2858
- **Practice address phone:** (937) 212-9834
- **Practice address fax:** (937) 387-9356
- **Mailing address:** 6520 POE AVE STE 170, DAYTON, OH 45414-2858
- **Mailing address phone:** (937) 387-9209
- **Mailing address fax:** (937) 836-2368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | 011139 | OH | — |
| 251E00000X | Home Health Agency | 011139 | OH | Yes |

## Other

- **Enumeration date:** 08/29/2017
- **Last updated:** 05/23/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0274590 | — | OH |