Individual
MRS. STACY LIN NOTTINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7044 STREETER RD, WINDHAM, OH 44288-9743
(330) 819-3951
Mailing address
7044 STREETER RD, WINDHAM, OH 44288-9743
(330) 819-3951
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
04/30/2024
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