Organization
SECOND CHANCE DAYTON GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUITA SHENAE LYNCH (DIRECTOR)
(937) 248-5162
Entity
Organization
Contact information
Practice address
1358 CANFIELD AVE, DAYTON, OH 45406-4309
(937) 248-5162
Mailing address
7010 HERCULES WAY, WAYNESVILLE, OH 45068-7505
(937) 248-5168
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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