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NPI Code Detail

MEDICARE: PAUL RICE

MEDICARE: PAUL 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
1314000000XSkilled Nursing Facility2013030549MO

General Provider Information

NPI Number : 1518360338
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL RICE
Provider Business Mailing Address
First Line : 1100 DOGWOOD DR
Second Line :
City : MEXICO
State : MO
Zip : 65265-2283
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 SOUTH ST
Second Line :
City : PARIS
State : MO
Zip : 65275-1165
Country : US
Telephone Number : 660-327-1024
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2014
Last Update Date : 10/07/2014

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Directions to “ PAUL RICE ” Practice Location

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