Provider Demographics
NPI:1578201554
Name:GRABER, CINDY
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:GRABER
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 1:3809 LATTASBURG RD LOT 3
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-7658
Mailing Address - Country:US
Mailing Address - Phone:330-466-9480
Mailing Address - Fax:
Practice Address - Street 1:3809 LATTASBURG RD LOT 3
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-7658
Practice Address - Country:US
Practice Address - Phone:330-466-9480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care