MEDICARE: JAN L RUMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency		OH

General Provider Information

NPI Number	:	1821459405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAN L RUMA

Provider Business Mailing Address
First Line	:	3231 CENTRAL PARK W
Second Line	:	SUITE 200
City	:	TOLEDO
State	:	OH
Zip	:	43617-3008
Country	:	US
Telephone Number	:	419-842-0800
Fax Number	:	419-843-8889

Provider Business Practice Location Address
First Line	:	3231 CENTRAL PARK W
Second Line	:	SUITE 200
City	:	TOLEDO
State	:	OH
Zip	:	43617-3008
Country	:	US
Telephone Number	:	419-842-0800
Fax Number	:	419-843-8889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2016
Last Update Date	:	03/10/2016

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