Individual
KEARA STACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7875 BURR OAK NEW HOPE RD, FLETCHER, OH 45326-8769
(937) 214-2304
Mailing address
7875 BURR OAK NEW HOPE RD, FLETCHER, OH 45326-8769
(937) 214-2304
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/01/2025
Last updated
04/18/2025
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