Provider Demographics
NPI:1043612849
Name:LAY HUGHES, RACHELLE (BA)
Entity Type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:
Last Name:LAY HUGHES
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:996 EASTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-1364
Mailing Address - Country:US
Mailing Address - Phone:330-697-6401
Mailing Address - Fax:
Practice Address - Street 1:996 EASTLAND AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-1364
Practice Address - Country:US
Practice Address - Phone:330-697-6401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2371053Medicaid