Fountaine, Lutacia L

Fountaine, Lutacia L is an sole proprietor health care provider with primary practice located at 4609 Elmer Ave , Dayton OH 45417-1338. She recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Nursing Service Related Providers / Nurse's Aide, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Fountaine, Lutacia L can be contacted via phone (937) 478-8996.

Contact Information

Primary practice address
4609 Elmer Ave Dayton OH 45417-1338
Phone: (937) 478-8996
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Nursing Service Related Providers / Nurse's Aide 376K00000X
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1902508583
LBN Legal business name Fountaine, Lutacia L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2023
Last updated Mar 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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