MEDICARE: MILLARRICH,LLC

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	:	1679871107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILLARRICH,LLC

Provider Business Mailing Address
First Line	:	5022 OLD HYDES FERRY PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37218-3911
Country	:	US
Telephone Number	:	615-564-7177
Fax Number	:	888-800-7610

Provider Business Practice Location Address
First Line	:	5022 OLD HYDES FERRY PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37218-3911
Country	:	US
Telephone Number	:	615-564-7177
Fax Number	:	888-800-7610

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	DEBI ANN GONZALEZ
Credential	:	BCBA
Telephone Number	:	615-945-2113

Provider Enumeration Date	:	03/08/2011
Last Update Date	:	11/09/2023

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Directions to “MILLARRICH,LLC ” Practice Location

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