Individual provider · Type 1 NPI

Colleen Marie Lycans

Homemaker · Fairlawn, OH

NPI number 1114898616 Active

Practice location

2625 Chamberlain Rd
Fairlawn, OH 44333-4173

Call (330) 715-6351 Map

Specialties and licenses

TaxonomyCodeLicense
Homemaker Primary 376J00000XNone listed

Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

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About NPI 1114898616

Colleen Marie Lycans's National Provider Identifier is 1114898616, issued on Sep 16, 2025. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Fairlawn, OH. The record was last updated on Sep 18, 2025.