Provider Demographics
NPI:1083463673
Name:CASE, SARANDA WHITNEY
Entity type:Individual
Prefix:
First Name:SARANDA
Middle Name:WHITNEY
Last Name:CASE
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 1:503 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT ORAB
Mailing Address - State:OH
Mailing Address - Zip Code:45154-8539
Mailing Address - Country:US
Mailing Address - Phone:513-807-5962
Mailing Address - Fax:
Practice Address - Street 1:503 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:MOUNT ORAB
Practice Address - State:OH
Practice Address - Zip Code:45154-8539
Practice Address - Country:US
Practice Address - Phone:513-807-5962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant