Individual
STACI STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
734 MAKETEWAH DR, DELAWARE, OH 43015-8183
(740) 602-4721
Mailing address
734 MAKETEWAH DR, DELAWARE, OH 43015-8183
(740) 602-4721
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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