Organization · NPI-2

Joana'S

Custodial Care Facility, Adult Care Home · Dayton, OH

NPI number1164826871
StatusActive
Last updated in NPPESOct 9, 2014

Details

NPI
1164826871
Entity type
Organization (NPI-2)
Legal business name
Joana'S
Organization subpart
No
Enumeration date
Oct 9, 2014
Last updated
Oct 9, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care Home147428OHYes

Practice location

323 Timberlake Drive
Dayton, OH 45414

Phone 937-248-4873

Mailing address

323 Timberlake Dr
Dayton, OH 45414-1537

Authorized official

Joana Beaudoin
Lpn
9372484873

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Custodial Care Facility, Adult Care Home providers in Dayton, OH