Provider Demographics
NPI:1700577657
Name:RUIC, THERESE MAUREEN
Entity Type:Individual
Prefix:
First Name:THERESE
Middle Name:MAUREEN
Last Name:RUIC
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 1:17937 FOX HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-6101
Mailing Address - Country:US
Mailing Address - Phone:440-212-9384
Mailing Address - Fax:
Practice Address - Street 1:17937 FOX HOLLOW DR
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-6101
Practice Address - Country:US
Practice Address - Phone:440-212-9384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide