Healthcare Provider Details

I. General information

NPI: 1821959958
Provider Name (Legal Business Name): BRITTANY DAWN GRUBB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

297 KELLNER AVE
BALTIMORE OH
43105-9758
US

IV. Provider business mailing address

297 KELLNER AVE
BALTIMORE OH
43105-9758
US

V. Phone/Fax

Practice location:
  • Phone: 937-752-6885
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: