IndividualActive
Summer Wallace
NPI 1629956396 · Personal Care Attendant · Stout, OH
Provider details
- NPI number
- 1629956396
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
544 W Fork Rd
Stout, OH 45684-9654
Phone: (937) 421-5881
Approximate (ZIP-level) locationGet directions
Mailing address
544 W Fork Rd
Stout, OH 45684-9654
Registry dates
- Enumerated
- 2025-08-21
- Last updated
- 2025-08-21
- Certified
- 2025-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.