Madison Lake
Madison Lake is a Personal Care Attendant in Ashtabula, Ohio. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2201 S Ridge Rd EAshtabula, OH 44004-4458
Phone: (330) 703-1819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1360 Gray Fox Dr, North Canton, OH 44720-1014 — (330) 703-1819
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1871362848 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 1, 2024 |
| Last updated in NPPES | January 1, 2024 |
| Certification date | December 30, 2023 |
| Mailing address | 1360 Gray Fox Dr, North Canton, OH 44720-1014 |
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