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TRACI WALLACE L WALLACE
NPI 1891663860
Custodial Care Facility - Adult Care Home in Dayton, OH

Active since October 29, 2025
6612 LOVELL CT, DAYTON, OH 45424(937) 361-9726 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Traci Wallace L Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACI WALLACE L WALLACE (NPI 1891663860) is an individual adult care home provider in Dayton, Ohio and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1891663860
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameTRACI WALLACE L WALLACE
Location Address6612 LOVELL CTDayton, OH 45424-7120
Mailing Address6612 Lovell CtDayton, OH 45424-7120 · (937) 361-9726
Phone(937) 361-9726
Sole ProprietorYes
Enumeration DateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1891663860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
6612 LOVELL CT, Dayton, OH 45424
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traci Wallace Wallace's NPI number?

The NPI number for Traci Wallace Wallace is 1891663860. It was assigned to this individual provider in the NPPES registry on October 29, 2025.

Where is Traci Wallace Wallace located?

Traci Wallace Wallace practices at 6612 Lovell Ct, Dayton, OH 45424. The listed phone number is (937) 361-9726.

What is Traci Wallace Wallace's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Traci Wallace Wallace was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.