Stacy Maddox
Technician, Personal Care Attendant in Ravenna, OH. Individual provider (NPI-1).
NPI number1073479366
StatusActive
Last updated in NPPESDec 30, 2025
Details
- NPI
- 1073479366
- Entity type
- Individual (NPI-1)
- Name
- Stacy Maddox
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 30, 2025
- Certification date
- Dec 30, 2025
- Last updated
- Dec 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
6677 State Route 225Ravenna, OH 44266-9296
Phone 330-647-8891
Mailing address
6677 State Route 225Ravenna, OH 44266-9296
Phone 330-647-8891
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All 32 Personal Care Attendant providers in Ravenna · All 1,333 providers in Ravenna
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