Healthcare Provider Details

I. General information

NPI: 1194494344
Provider Name (Legal Business Name): DORA ANN RICE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2021
Last Update Date: 11/01/2021
Certification Date: 11/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

857 LINDSAY AVE
AKRON OH
44306-2760
US

IV. Provider business mailing address

857 LINDSAY AVE
AKRON OH
44306-2760
US

V. Phone/Fax

Practice location:
  • Phone: 234-788-6062
  • Fax:
Mailing address:
  • Phone: 234-788-6062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: