Healthcare Provider Details

I. General information

NPI: 1184237604
Provider Name (Legal Business Name): MARIBETH SAXER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2020
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date: 12/29/2022
Reactivation Date: 02/09/2024

III. Provider practice location address

928 SHOSHONE AVE
AKRON OH
44305-1150
US

IV. Provider business mailing address

2960 PINE LAKE RD
UNIONTOWN OH
44685-9764
US

V. Phone/Fax

Practice location:
  • Phone: 330-690-0213
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.1451154
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: