Provider Demographics
NPI:1497645725
Name:STREET, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:STREET
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 1:4104 HEATHERDOWNS BLVD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-3249
Mailing Address - Country:US
Mailing Address - Phone:734-377-9422
Mailing Address - Fax:734-377-9422
Practice Address - Street 1:4104 HEATHERDOWNS BLVD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-3249
Practice Address - Country:US
Practice Address - Phone:734-377-9422
Practice Address - Fax:734-377-9422
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child