Provider Demographics
NPI:1629858485
Name:GOODE, RASHEENA
Entity Type:Individual
Prefix:
First Name:RASHEENA
Middle Name:
Last Name:GOODE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3077 HIGHWAY NINETY TWO
Mailing Address - Street 2:
Mailing Address - City:BOYDTON
Mailing Address - State:VA
Mailing Address - Zip Code:23917-2011
Mailing Address - Country:US
Mailing Address - Phone:434-262-6182
Mailing Address - Fax:
Practice Address - Street 1:131 CRESCENT DR
Practice Address - Street 2:APT B
Practice Address - City:CLARKSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23927
Practice Address - Country:US
Practice Address - Phone:434-262-6182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-29
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide