MEDICARE: RICO ANDREWS

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	347C00000X	Private Vehicle	SK192790	OH
2	372600000X	Adult Companion
3	374U00000X	Home Health Aide
4	376J00000X	Homemaker
5	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1013691880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICO ANDREWS

Provider Business Mailing Address
First Line	:	1741 WELCH LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-3537
Country	:	US
Telephone Number	:	513-616-7985
Fax Number	:

Provider Business Practice Location Address
First Line	:	1741 WELCH LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-3537
Country	:	US
Telephone Number	:	513-616-7985
Fax Number	:

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

Provider Enumeration Date	:	06/13/2023
Last Update Date	:	06/13/2023

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Directions to “ RICO ANDREWS ” Practice Location

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