Provider Demographics
NPI:1346083920
Name:WARE, MARIA L
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:L
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 1:2850 DIVISION AVE UNIT 647
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-2674
Mailing Address - Country:US
Mailing Address - Phone:216-640-0657
Mailing Address - Fax:
Practice Address - Street 1:2850 DIVISION AVE UNIT 647
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-2674
Practice Address - Country:US
Practice Address - Phone:216-640-0657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant