Provider Demographics
NPI:1174736003
Name:GARCIA, CIARA SABRINA
Entity type:Individual
Prefix:
First Name:CIARA
Middle Name:SABRINA
Last Name:GARCIA
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 1:3131 ASTOR AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-5224
Mailing Address - Country:US
Mailing Address - Phone:419-381-0465
Mailing Address - Fax:
Practice Address - Street 1:3131 ASTOR AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-5224
Practice Address - Country:US
Practice Address - Phone:419-381-0465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2370741OtherINDEPENDENT HOME CARE