Mariah Ruffin is a Respite Care based in Fort Wayne, IN. Mariah Ruffin practices in Fort Wayne, IN. The NPI Number for Mariah Ruffin is 1457814139 and holds a License No. (Indiana).
The current practice location address for Mariah Ruffin is 1405 Eliza St, Fort Wayne, IN and can be reached out via phone at 260-431-1213.
Location: 1405 Eliza St, Fort Wayne, IN, 46803-2035
Provider Profile Details
NPI Number
1457814139
Provider Name
Mariah Ruffin
Credential
Provider Entity Type
Organization
Address
1405 Eliza St, Fort Wayne, IN, 46803-2035
Phone Number
260-431-1213
Fax Number
Provider Enumeration Date
04/10/2019
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300022892 | 05 | IN |
Provider Business Practice Location Address Details
Address
1405 Eliza St
City
State
Zip
46803-2035
Phone Number
260-431-1213
Fax Number
Provider Business Mailing Address Details
Address
1405 Eliza St
City
State
Zip
46803-2035
Phone Number
260-431-1213
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come.
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