Provider Demographics
NPI:1598762874
Name:S.A. MAHER, INC.
Entity Type:Organization
Organization Name:S.A. MAHER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOPHIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-772-5544
Mailing Address - Street 1:PO BOX 38306
Mailing Address - Street 2:
Mailing Address - City:OLMSTED FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44138-0306
Mailing Address - Country:US
Mailing Address - Phone:440-777-5544
Mailing Address - Fax:440-777-5094
Practice Address - Street 1:845 W BAGLEY RD
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:OH
Practice Address - Zip Code:44017-2903
Practice Address - Country:US
Practice Address - Phone:440-777-5544
Practice Address - Fax:440-777-5094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0637814Medicaid
OH0637814Medicaid
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