MARY ANN WALLACE NPI 1124172036

NPI Information

  • NPI: 1124172036
  • Provider Name: MARY ANN WALLACE
  • Classification: Home Delivered Meals - 332U00000X
  • Entity Type: Organization
  • Doing Business As: AHLERS CATERING
  • Address: 900 TROY STREET
    DAYTON, OH
    ZIP 45404
  • Phone: (937) 443-0405

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NPI Details

MARY ANN WALLACE is a home delivered meals in Dayton, OH. The provider is home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral. MARY ANN WALLACE NPI is 1124172036. The provider is registered as an organization entity type.
The provider Is Doing Business As Ahlers Catering.

The provider's business location address is:

900 TROY STREET
DAYTON, OH
ZIP 45404
Phone: (937) 443-0405
Fax: (937) 454-0390

The provider's authorized official is Mary Ann Wallace .
The authorized official title is Ceo Owner Operator and has the following contact phone number (937) 443-0405.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 7/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332U00000XHome Delivered Meals20060784OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10959379MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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