Organization
HOMEFULL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA M PATTERSON (CEO)
(937) 293-1945
Entity
Organization
Contact information
Practice address
807 S. GETTYSBURG AVE., SUITE 201, DAYTON, OH 45417
(937) 293-1945
(937) 293-8150
Mailing address
2621 DRYDEN RD STE 302, MORAINE, OH 45439-1661
(937) 293-1945
(937) 293-8150
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/22/2006
Last updated
10/13/2025
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