MEDICARE: RICHFIELD GROUP OF COMPANIES USA

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	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1689206096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHFIELD GROUP OF COMPANIES USA

Provider Business Mailing Address
First Line	:	415 N BENTON AVE # 2867
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-5041
Country	:	US
Telephone Number	:	404-754-2973
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 N BENTON AVE # 2867
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-5041
Country	:	US
Telephone Number	:	404-754-2973
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ESTELLA KORLU GAYE
Credential	:
Telephone Number	:	404-754-2973

Provider Enumeration Date	:	02/04/2020
Last Update Date	:	02/04/2020

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