MEDICARE: SABINA M RICHARDS

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	09L04476	VA

General Provider Information

NPI Number	:	1659511277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABINA M RICHARDS

Provider Business Mailing Address
First Line	:	16292 ASPEN TRAIL CT
Second Line	:
City	:	TRIANGLE
State	:	VA
Zip	:	22172-1100
Country	:	US
Telephone Number	:	703-910-0134
Fax Number	:

Provider Business Practice Location Address
First Line	:	16292 ASPEN TRAIL CT
Second Line	:
City	:	TRIANGLE
State	:	VA
Zip	:	22172-1100
Country	:	US
Telephone Number	:	703-910-0134
Fax Number	:

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

Provider Enumeration Date	:	02/21/2009
Last Update Date	:	02/21/2009

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