Organization
SAUCE LYFE STILE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHONDA PARSON (OWNER)
(937) 684-5593
Entity
Organization
Contact information
Practice address
5245 SHASTA AVE, DAYTON, OH 45417-9115
(937) 684-5593
Mailing address
5245 SHASTA AVE, DAYTON, OH 45417-9115
(937) 684-5593
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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