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

Traci Wallace L Wallace

Individual provider Adult Care Home Facility · NPI 1891663860

Traci Wallace L Wallace is an Adult Care Home Facility in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025
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Practice location Address checks out

6612 Lovell Ct
Dayton, OH 45424-7120
Phone: (937) 361-9726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X (OH)

Record details

NPI number1891663860
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 29, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address6612 Lovell Ct, Dayton, OH 45424-7120

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