Individual
STACEY LYNN SHUMATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2202 OUTVILLE RD, ALEXANDRIA, OH 43001-9733
(740) 670-4356
Mailing address
2202 OUTVILLE RD, ALEXANDRIA, OH 43001-9733
(740) 670-4356
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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