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Individual
SHANEKA RANDLE
Active
Individual
SHANEKA RANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
7611292
OH
376J00000X
Homemaker
Primary
7611292
OH
Other
Enumeration date
06/24/2026
Last updated
07/20/2026
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