Provider Demographics
NPI:1225851397
Name:CALUYA FINI, CZARINA ANTONIA
Entity type:Individual
Prefix:
First Name:CZARINA
Middle Name:ANTONIA
Last Name:CALUYA FINI
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 1:3637 MEDINA RD STE 120
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-5342
Mailing Address - Country:US
Mailing Address - Phone:330-722-3302
Mailing Address - Fax:
Practice Address - Street 1:177 BENSON RD
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3507
Practice Address - Country:US
Practice Address - Phone:330-591-0614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRR961217385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child