Individual
SHAKITA RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 E 4TH AVE UNIT 14, ALBANY, GA 31705-1373
(229) 343-0391
(229) 329-4474
Mailing address
1005 E 4TH AVE UNIT 14, ALBANY, GA 31705-1373
(229) 343-0391
(229) 329-4474
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AB15-000411
GA
Other
Enumeration date
02/05/2017
Last updated
02/05/2017
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