Healthcare Provider Details

I. General information

NPI: 1932609088
Provider Name (Legal Business Name): LADYBUG SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2018
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4212 HOOVER AVE
DAYTON OH
45417-1115
US

IV. Provider business mailing address

PO BOX 60991
DAYTON OH
45406-8991
US

V. Phone/Fax

Practice location:
  • Phone: 937-263-2844
  • Fax: 866-295-1542
Mailing address:
  • Phone: 937-263-2844
  • Fax: 866-295-1542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: REGINA JOHNSON
Title or Position: OWNER
Credential:
Phone: 937-263-2844