MEDICARE: BRITTANY 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1578227716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY RICE

Provider Business Mailing Address
First Line	:	9639 FOSTER AVE
Second Line	:
City	:	BRECKENRIDGE HILLS
State	:	MO
Zip	:	63114-2811
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9639 FOSTER AVE
Second Line	:
City	:	BRECKENRIDGE HILLS
State	:	MO
Zip	:	63114-2811
Country	:	US
Telephone Number	:	314-891-7282
Fax Number	:

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

Provider Enumeration Date	:	10/25/2021
Last Update Date	:	10/25/2021

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Directions to “ BRITTANY RICE ” Practice Location

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