Provider Demographics
NPI:1336978766
Name:BECKA, MARIE ROSE
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:ROSE
Last Name:BECKA
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 1:2260 CANTERBURY RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-3230
Mailing Address - Country:US
Mailing Address - Phone:216-375-9116
Mailing Address - Fax:
Practice Address - Street 1:2260 CANTERBURY RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-3230
Practice Address - Country:US
Practice Address - Phone:440-732-1480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care