Provider Demographics
NPI:1659166866
Name:SINGH, MARY RUTH
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:RUTH
Last Name:SINGH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3835 GRACE ST
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45662-4927
Mailing Address - Country:US
Mailing Address - Phone:740-285-4771
Mailing Address - Fax:
Practice Address - Street 1:3835 GRACE ST
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:OH
Practice Address - Zip Code:45662-4927
Practice Address - Country:US
Practice Address - Phone:740-285-4771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant