MEDICARE: RITA PHILIP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide	410738078305	MI

General Provider Information

NPI Number	:	1396602413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITA PHILIP

Provider Business Mailing Address
First Line	:	3549 LA MANNA DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-6147
Country	:	US
Telephone Number	:	586-277-9036
Fax Number	:

Provider Business Practice Location Address
First Line	:	3549 LA MANNA DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-6147
Country	:	US
Telephone Number	:	586-277-9036
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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Directions to “ RITA PHILIP ” Practice Location

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