Organization
JOANA'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANA BEAUDOIN (LPN)
(937) 248-4873
Entity
Organization
Contact information
Practice address
323 TIMBERLAKE DRIVE, DAYTON, OH 45414
(937) 248-4873
Mailing address
323 TIMBERLAKE DR, DAYTON, OH 45414-1537
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
147428
OH
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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