Provider Demographics
NPI:1013334853
Name:WARE, MARY C
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:C
Last Name:WARE
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 1:2760 ORCHARDPARK DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-7773
Mailing Address - Country:US
Mailing Address - Phone:513-417-5243
Mailing Address - Fax:513-541-6981
Practice Address - Street 1:2760 ORCHARDPARK DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-7773
Practice Address - Country:US
Practice Address - Phone:513-417-5243
Practice Address - Fax:513-541-6981
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health