Provider Demographics
NPI:1154209443
Name:MARSHALL, RAKEEMA (OWNER)
Entity type:Individual
Prefix:
First Name:RAKEEMA
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:OWNER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43609-2939
Mailing Address - Country:US
Mailing Address - Phone:567-377-6687
Mailing Address - Fax:
Practice Address - Street 1:513 OGDEN AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43609-2939
Practice Address - Country:US
Practice Address - Phone:567-377-6687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care