| Doctor Name: | RANDOLPH ASHLEY |
| NPI Number: | 1649630807 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 6333 Sauterne Dr Jacksonville, FL - 322107730 |
| Business Phone Number: | 9046292722 |
| Business Fax Number: | |
| Mailing Address: | 6333 Sauterne Dr, JACKSONVILLE |
| State: | FL |
| Postal Code: | 322107730 |
| Phone Number: | 9046292722 |
| Fax Number: | |
| NPI Enumeration Date: | 03/01/2016 |
| NPI Last Update Date: | 03/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |