Healthcare Provider Details

I. General information

NPI: 1285940296
Provider Name (Legal Business Name): ROBERT WAYNE RICE RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2010
Last Update Date: 08/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9329 SPRINGS RD
WARRENTON VA
20186-9558
US

IV. Provider business mailing address

9329 SPRINGS RD
WARRENTON VA
20186-9558
US

V. Phone/Fax

Practice location:
  • Phone: 540-578-2227
  • Fax: 540-878-5934
Mailing address:
  • Phone: 540-578-2227
  • Fax: 540-878-5934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License Number0117005286
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: