Provider Demographics
NPI:1750655270
Name:MCGHEE, MARQUITA DIONNE
Entity Type:Individual
Prefix:
First Name:MARQUITA
Middle Name:DIONNE
Last Name:MCGHEE
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 1:18524 WINSLOW RD
Mailing Address - Street 2:DOWNSTAIRS
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4815
Mailing Address - Country:US
Mailing Address - Phone:216-394-6352
Mailing Address - Fax:
Practice Address - Street 1:18524 WINSLOW RD
Practice Address - Street 2:DOWNSTAIRS
Practice Address - City:SHAKER HTS
Practice Address - State:OH
Practice Address - Zip Code:44122
Practice Address - Country:US
Practice Address - Phone:216-394-6352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility