Organization
THEE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TISCHA ELAINE COATES (CHIEF EXECUTIVE OFFICER)
(937) 671-9117
Entity
Organization
Contact information
Practice address
4661 MERRICK DR, DAYTON, OH 45415-3354
(937) 671-9117
Mailing address
4661 MERRICK DR, DAYTON, OH 45415-3354
(937) 671-9117
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
251E00000X
Home Health Agency
—
—
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/28/2022
Last updated
06/20/2023
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