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Summer Wallace — NPI 1629956396, Stout, OH | NPI Central

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NPI 1629956396

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

Personal Care AttendantPrimary3747P1801X
Nursing Service Related Providers

Practice location

544 W Fork Rd

Stout, OH 45684-9654

Phone: (937) 421-5881

Approximate (ZIP-level) locationGet directions

More OH providers

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.