Individual provider · NPI-1

Kimberly Teru Bland

In Home Supportive Care · Dayton, OH

NPI number1114702164

StatusActive

Last updated in NPPESSep 2, 2023

Details

NPI: 1114702164
Entity type: Individual (NPI-1)
Name: Kimberly Teru Bland
Sex: Female
Sole proprietor: Yes
Enumeration date: Aug 29, 2023
Certification date: Sep 2, 2023
Last updated: Sep 2, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
253Z00000X	In Home Supportive Care	–	–	Yes
251E00000X	Home Health	–	–
311ZA0620X	Custodial Care Facility, Adult Care Home	–	–
372500000X	Chore Provider	–	–
372600000X	Adult Companion	–	–

Practice location

68 Lensdale Ave
Dayton, OH 45417-8419

Phone 937-727-3916

Mailing address

68 Lensdale Ave
Dayton, OH 45417-8419

Phone 937-727-3916

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