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Randy Jermaine Smith SR.
Nursing Care Agency in Cleveland, Ohio
NPI 1578274437

Randy Jermaine Smith SR. is a Nursing Care Agency based in Cleveland, OH. Randy Jermaine Smith SR. practices in Cleveland, OH. The NPI Number for Randy Jermaine Smith SR. is 1578274437 and holds a License No. 401054400310 (Ohio).

The current practice location address for Randy Jermaine Smith SR. is 7704 Halle Ave, Cleveland, OH and can be reached out via phone at 216-624-2967.

Location: 7704 Halle Ave, Cleveland, OH, 44102-5040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578274437
Provider Name
Randy Jermaine Smith SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
7704 Halle Ave, Cleveland, OH, 44102-5040
Phone Number
216-624-2967
Fax Number
Provider Enumeration Date
12/12/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0365168 05 OH
institution
Provider Business Practice Location Address Details
Address
7704 Halle Ave
City
Cleveland
State
Ohio
Zip
44102-5040
Phone Number
216-624-2967
Fax Number
person
Provider Business Mailing Address Details
Address
7704 Halle Ave
City
Cleveland
State
Ohio
Zip
44102-5040
Phone Number
216-624-2967
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
401054400310 (Ohio)
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
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