Randall Eggleston, PRS

NPI 1568193787 · on the registry since 2022

Practice

Address: 3445 S Main St
Coventry Twp, OH 44319
Phone: (330) 644-4095
Fax: (330) 645-2031
Organisation at this address: Interval Brotherhood Homes, Inc.
Interval Brotherhood Homes, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 175T00000X
175T00000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-06-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio