Healthcare Provider Details

I. General information

NPI: 1720886302
Provider Name (Legal Business Name): ASSISTING WITH BUILDING BLOCKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2128 UNIVERSITY PL
DAYTON OH
45406-5965
US

IV. Provider business mailing address

2941 PRESTON AVE
DAYTON OH
45417-1619
US

V. Phone/Fax

Practice location:
  • Phone: 937-305-0016
  • Fax:
Mailing address:
  • Phone: 937-305-0016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAVON R JORDAN
Title or Position: CEO
Credential:
Phone: 937-305-0016