MEDICARE: RITE AWAY GROUP 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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1730463431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITE AWAY GROUP LLC

Provider Business Mailing Address
First Line	:	8181 N WAYNE RD
Second Line	:
City	:	WESTLAND
State	:	MI
Zip	:	48185-1328
Country	:	US
Telephone Number	:	561-506-0716
Fax Number	:

Provider Business Practice Location Address
First Line	:	8181 N WAYNE RD
Second Line	:
City	:	WESTLAND
State	:	MI
Zip	:	48185-1328
Country	:	US
Telephone Number	:	561-506-0716
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. LESVIA RECIO
Credential	:
Telephone Number	:	561-506-0716

Provider Enumeration Date	:	09/29/2011
Last Update Date	:	09/29/2011

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Directions to “RITE AWAY GROUP LLC ” Practice Location

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