Provider Demographics
NPI:1700764412
Name:STUBBS, YOLANDA R
Entity type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:R
Last Name:STUBBS
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 1:324 MARION DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-2852
Mailing Address - Country:US
Mailing Address - Phone:216-502-0626
Mailing Address - Fax:
Practice Address - Street 1:324 MARION DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-2852
Practice Address - Country:US
Practice Address - Phone:216-502-0626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care