Organization
MARY ANN WALLACE
Active
Other names
Ahlers Catering
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN WALLACE (CEO OWNER OPERATOR)
(937) 443-0405
Entity
Organization
Contact information
Practice address
900 TROY STREET, DAYTON, OH 45404
(937) 443-0405
(937) 454-0390
Mailing address
900 TROY STREET, DAYTON, OH 45404
(937) 443-0405
(937) 454-0390
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
20060784
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0959379
—
OH
Enumeration date
01/22/2007
Last updated
07/15/2008
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