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Organization
FUNDAMENTAL HEALTH AND COMMUNITY DEVELOPMENT SERVICES
Active
Organization
FUNDAMENTAL HEALTH AND COMMUNITY DEVELOPMENT SERVICES
Active
Other names
Fundamental Health Solutions Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONDORA F TINGLE RN (EXECUTIVE DIRECTOR)
(937) 469-8524
Entity
Organization
Contact information
Practice address
1840 W. 5TH ST, DAYTON, OH 45417
(937) 469-8524
(937) 637-2035
Mailing address
1840 W. 5TH ST, DAYTON, OH 45417
(937) 469-8524
(937) 637-2035
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
12/07/2010
Last updated
06/04/2021
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