MEDICARE: ANTHONIE DEVIN RICH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	372500000X	Chore Provider
2	374U00000X	Home Health Aide
3	372600000X	Adult Companion	TX

General Provider Information

NPI Number	:	1528588431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONIE DEVIN RICH

Provider Business Mailing Address
First Line	:	4310 TOLEDO BEND DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-7948
Country	:	US
Telephone Number	:	832-226-8369
Fax Number	:

Provider Business Practice Location Address
First Line	:	4310 TOLEDO BEND DRIVE
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406
Country	:	US
Telephone Number	:	832-226-8369
Fax Number	:

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

Provider Enumeration Date	:	06/21/2017
Last Update Date	:	07/21/2022

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Directions to “ ANTHONIE DEVIN RICH ” Practice Location

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