Individual provider · Type 1 NPI

Makenzie Randolph

Homemaker · Charleston, WV

NPI number 1033848973 Active

Practice location

4510 Pennsylvania Ave
Charleston, WV 25302-4835

Call (304) 965-9081 Map

Fax (304) 346-1860

Mailing address

24 W Riverside Dr
Charlton Heights, WV 25040

Specialties and licenses

TaxonomyCodeLicense
Homemaker Primary 376J00000XNone listed

Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

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About NPI 1033848973

Makenzie Randolph's National Provider Identifier is 1033848973, issued on Jun 7, 2022. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Charleston, WV. The record was last updated on Jun 7, 2022.