MEDICARE: RICKYIA STRICKLAND

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1770237075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICKYIA STRICKLAND

Provider Business Mailing Address
First Line	:	445 RICHMOND PARK W APT 429B
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	OH
Zip	:	44143-1826
Country	:	US
Telephone Number	:	614-517-7610
Fax Number	:

Provider Business Practice Location Address
First Line	:	445 RICHMOND PARK W APT 429B
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	OH
Zip	:	44143-1826
Country	:	US
Telephone Number	:	614-517-7610
Fax Number	:

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

Provider Enumeration Date	:	02/07/2022
Last Update Date	:	02/07/2022

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Directions to “ RICKYIA STRICKLAND ” Practice Location

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