Organization · NPI-2

1 Trust Group Home, LLC

Community/Behavioral Health · Dayton, OH

NPI number1992670657
StatusActive
Last updated in NPPESOct 10, 2025

Details

NPI
1992670657
Entity type
Organization (NPI-2)
Legal business name
1 Trust Group Home, LLC
Organization subpart
No
Enumeration date
Oct 10, 2025
Certification date
Oct 10, 2025
Last updated
Oct 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

351 Verona Rd
Dayton, OH 45417-1328

Phone 937-267-4879

Mailing address

351 Verona Rd
Dayton, OH 45417-1328

Phone 937-267-4879

Authorized official

Shacara Elijah
Administrator
9372674879

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