Individual
KIMBERLY TERU BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68 LENSDALE AVE, DAYTON, OH 45417-8419
(937) 727-3916
Mailing address
68 LENSDALE AVE, DAYTON, OH 45417-8419
(937) 727-3916
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
08/29/2023
Last updated
09/02/2023
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