Provider Demographics
NPI:1669088241
Name:MACCREADY, OLGA CECILIA
Entity type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:CECILIA
Last Name:MACCREADY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1475 TOWNSHIP ROAD 25
Mailing Address - Street 2:
Mailing Address - City:CARDINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43315-9759
Mailing Address - Country:US
Mailing Address - Phone:141-986-4243
Mailing Address - Fax:
Practice Address - Street 1:1475 TOWNSHIP ROAD 25
Practice Address - Street 2:
Practice Address - City:CARDINGTON
Practice Address - State:OH
Practice Address - Zip Code:43315-9759
Practice Address - Country:US
Practice Address - Phone:419-864-2435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-19
Last Update Date:2020-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care