Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bodi Grayson Wallace

Individual provider Homemaker · NPI 1609624881

Bodi Grayson Wallace is a Homemaker in South Bloomfield, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5408 Morning Glory St
South Bloomfield, OH 43103-3518
Phone: (740) 497-6108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Homemaker (primary) Taxonomy 376J00000X

Record details

NPI number1609624881
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 11, 2024
Last updated in NPPESMay 11, 2024
Certification dateMay 11, 2024
Mailing address5408 Morning Glory St, South Bloomfield, OH 43103-3518

Other providers in South Bloomfield