Individual
TINA WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 JONQUIL ST, DAYTON, OH 45417-7842
(937) 941-5975
Mailing address
160 JONQUIL ST, DAYTON, OH 45417-7842
(326) 467-4932
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
09/05/2025
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