MEDICARE: ANGELA RICE

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

General Provider Information

NPI Number	:	1275014490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA RICE

Provider Business Mailing Address
First Line	:	1333 E BROAD ST
Second Line	:
City	:	WEST POINT
State	:	MS
Zip	:	39773-3180
Country	:	US
Telephone Number	:	662-295-3257
Fax Number	:	662-295-3257

Provider Business Practice Location Address
First Line	:	1333 E BROAD ST
Second Line	:
City	:	WEST POINT
State	:	MS
Zip	:	39773-3180
Country	:	US
Telephone Number	:	662-295-3257
Fax Number	:	662-295-3257

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

Provider Enumeration Date	:	08/25/2018
Last Update Date	:	12/02/2021

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Directions to “ ANGELA RICE ” Practice Location

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