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Organization
YOUR ROAD TO SUCCESS
Active
Organization
YOUR ROAD TO SUCCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS L MACK (DIRECTOR OF OPERATION)
(937) 266-5072
Entity
Organization
Contact information
Practice address
128 W 1ST ST, DAYTON, OH 45402-1101
(937) 266-5072
Mailing address
128 W 1ST ST, DAYTON, OH 45402-1101
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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