Healthcare Provider Details

I. General information

NPI: 1881297919
Provider Name (Legal Business Name): SADIE-LYNN MARIE SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2020
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 SEVILLE RD APT C1
WADSWORTH OH
44281-1032
US

IV. Provider business mailing address

585 SEVILLE RD APT C1
WADSWORTH OH
44281-1032
US

V. Phone/Fax

Practice location:
  • Phone: 330-749-2111
  • Fax:
Mailing address:
  • Phone: 330-749-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: