Provider Demographics
NPI:1528842887
Name:SOULAIMAN, SARA JEHAD
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:JEHAD
Last Name:SOULAIMAN
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 1:197 N MEDINA LINE RD
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-9501
Mailing Address - Country:US
Mailing Address - Phone:234-863-0634
Mailing Address - Fax:
Practice Address - Street 1:197 N MEDINA LINE RD
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-9501
Practice Address - Country:US
Practice Address - Phone:234-863-0634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant