Healthcare Provider Details

I. General information

NPI: 1588489777
Provider Name (Legal Business Name): SARAYA PARNELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2024
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1154 LARC LN
TOLEDO OH
43614-2768
US

IV. Provider business mailing address

1032 CAMPBELL ST
TOLEDO OH
43607-4416
US

V. Phone/Fax

Practice location:
  • Phone: 419-380-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: