Individual
DONNA SUE STALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12680 NATIONAL RD, CRIDERSVILLE, OH 45806-9504
(419) 235-2156
Mailing address
12680 NATIONAL RD, CRIDERSVILLE, OH 45806-9504
(419) 235-2156
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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