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Individual

STACIA NICOLE HALE

Active
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Individual

STACIA NICOLE HALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
251E00000X
Home Health Agency
343900000X
Non-emergency Medical Transport (VAN)
374U00000X
Home Health Aide
376J00000X
Homemaker
Primary
385H00000X
Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
02/18/2025
Last updated
02/18/2025
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