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:
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Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265898365 NPPES
Ohio MEDICAID 2111753

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