Lisa Kubicki
In Home Supportive Care in Marshallville, OH. Individual provider (NPI-1).
NPI number1124869979
StatusActive
Last updated in NPPESFeb 12, 2025
Details
- NPI
- 1124869979
- Entity type
- Individual (NPI-1)
- Name
- Lisa Kubicki
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2024
- Certification date
- Feb 12, 2025
- Last updated
- Feb 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 172A00000X | Driver | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
7986 Canal Fulton RdMarshallville, OH 44645-9500
Phone 234-521-3865
Mailing address
7986 Canal Fulton RdMarshallville, OH 44645-9500
Phone 234-521-3865
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