Provider Demographics
NPI:1881292795
Name:WARNER, RUTH
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:
Last Name:WARNER
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 1:4518 COUNTY ROAD 1
Mailing Address - Street 2:
Mailing Address - City:RAYLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43943-7828
Mailing Address - Country:US
Mailing Address - Phone:740-859-6816
Mailing Address - Fax:
Practice Address - Street 1:4518 COUNTY ROAD 1
Practice Address - Street 2:
Practice Address - City:RAYLAND
Practice Address - State:OH
Practice Address - Zip Code:43943-7828
Practice Address - Country:US
Practice Address - Phone:740-859-6816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant