Randle, Marcie Jeanette
Randle, Marcie Jeanette is an sole proprietor health care provider with primary practice located at 16004 Broadway Ave , Maple Heights OH 44137-2575. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Randle, Marcie Jeanette can be contacted via phone (216) 355-3991.Contact Information
Primary practice address
16004 Broadway Ave
Maple Heights OH 44137-2575
Phone: (216) 355-3991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 2111753 | Ohio |
| Nursing Service Related Providers / Homemaker | 376J00000X | 2111753 | Ohio |
Profile Details
| NPI number | 1265898365 |
|---|---|
| LBN Legal business name | Randle, Marcie Jeanette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2016 |
| Last updated | Jan 6th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265898365 | NPPES |
| Ohio | MEDICAID | 2111753 |
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