Provider Demographics
NPI:1659172930
Name:ROLLINS, RASHON MARQUAL
Entity type:Individual
Prefix:
First Name:RASHON
Middle Name:MARQUAL
Last Name:ROLLINS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:885 COMPTON LN
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44502-2330
Mailing Address - Country:US
Mailing Address - Phone:330-519-9782
Mailing Address - Fax:
Practice Address - Street 1:1358 E FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44502-2703
Practice Address - Country:US
Practice Address - Phone:330-519-9782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health