MEDICARE: ALISIA FRERICH

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	251E00000X	Home Health Agency
2	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1407667215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISIA FRERICH

Provider Business Mailing Address
First Line	:	7021 RAMROD CIR
Second Line	:
City	:	LABELLE
State	:	FL
Zip	:	33935-5450
Country	:	US
Telephone Number	:	646-696-0746
Fax Number	:

Provider Business Practice Location Address
First Line	:	7021 RAMROD CIR
Second Line	:
City	:	LABELLE
State	:	FL
Zip	:	33935-5450
Country	:	US
Telephone Number	:	646-696-0746
Fax Number	:

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

Provider Enumeration Date	:	01/20/2025
Last Update Date	:	01/20/2025

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Directions to “ ALISIA FRERICH ” Practice Location

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