Bodi Grayson Wallace
Homemaker · South Bloomfield, OH
NPI number
1609624881
Practice location
5408 Morning Glory StSouth Bloomfield, OH 43103-3518
- Phone
- (740) 497-6108
NPI record
- NPI
- 1609624881
- Entity type
- Individual (Type 1)
- Enumeration date
- May 11, 2024
- Last updated
- May 11, 2024
- Certified
- May 11, 2024
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Homemaker Primary | 376J00000X |
— | — |
About Bodi Wallace
Bodi Grayson Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Homemaker (code 376J00000X). The practice location is 5408 Morning Glory St, South Bloomfield, OH 43103-3518. The NPI number 1609624881 was assigned on May 11, 2024 and the record was last updated on May 11, 2024.
Frequently asked questions
What is the NPI number of Bodi Grayson Wallace?
The NPI number is 1609624881.
What is the phone number of Bodi Wallace?
The phone number listed for the practice location is (740) 497-6108.
Where is Bodi Wallace located?
5408 Morning Glory St, South Bloomfield, OH 43103-3518.
What is the taxonomy code for Bodi Wallace?
The primary taxonomy code is 376J00000X – Homemaker.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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