Provider Demographics
NPI:1588268403
Name:CASARES, ALTHEA KAY (PCA)
Entity type:Individual
Prefix:MRS
First Name:ALTHEA
Middle Name:KAY
Last Name:CASARES
Suffix:
Gender:F
Credentials:PCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:658 SWEETWATER DR
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-3059
Mailing Address - Country:US
Mailing Address - Phone:419-270-9695
Mailing Address - Fax:419-972-7224
Practice Address - Street 1:658 SWEETWATER DR
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3059
Practice Address - Country:US
Practice Address - Phone:419-270-9695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health